Individual
NICOLE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
951 MARKET ST STE 205, FORT MILL, SC 29708-6529
(803) 372-8585
(800) 598-6601
Mailing address
951 MARKET ST STE 205, FORT MILL, SC 29708-6529
(803) 372-8585
(800) 598-6601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8486
SC
Other
Enumeration date
09/21/2023
Last updated
10/02/2023
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