Individual
MS. NICOLE COAXUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2090 ADAM CLAYTON POWELL JR BLVD, NEW YORK, NY 10027-4990
(718) 514-5413
Mailing address
115 LOCKWOOD AVE, 2F, YONKERS, NY 10701-5032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NY
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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