Individual
NICOLE CARRAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, MS
Contact information
Practice address
1441 MACK ST, GASTON, SC 29053-8981
(980) 274-7192
Mailing address
1441 MACK ST, GASTON, SC 29053-8981
(980) 274-7192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
PLSW5511
AR
Other
Enumeration date
12/16/2021
Last updated
05/14/2026
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