Individual
MRS. NICOLE BOSSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
25 CLARK SUMMIT DR STE 103, BLUFFTON, SC 29910-4200
(843) 405-9479
Mailing address
36 WHITE HERON DR, BEAUFORT, SC 29907-1849
(631) 275-3561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8478
SC
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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