Individual
NICOLE MEGAN WEISGERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDAC1
Contact information
Practice address
1093 S BROADWAY STE 1218, LEXINGTON, KY 40504-2677
(859) 202-4983
Mailing address
607 JUDY LN, LEXINGTON, KY 40505-1715
(185) 920-2498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
286964
KY
Other
Enumeration date
03/07/2024
Last updated
03/12/2024
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