Individual
NICOLE JEANNE ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 935-0011
(575) 935-0011
Mailing address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 935-0011
(575) 935-0011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0083151
NM
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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