Individual
NICOLE ELLERBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
4351 MAIN ST STE 215, HARRISBURG, NC 28075-7429
(843) 421-3032
Mailing address
4204 SPRING OAK DR, CHARLOTTE, NC 28208-0503
(843) 421-3032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12781
NC
Other
Enumeration date
08/25/2017
Last updated
07/06/2022
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