Individual
NICOLE PATRICE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
PO BOX 12573, FLORENCE, SC 29504-2573
(843) 640-0109
Mailing address
PO BOX 12573, FLORENCE, SC 29504-2573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9362
SC
Other
Enumeration date
01/12/2024
Last updated
07/05/2024
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