Individual
EVA NICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-1802
(202) 938-6961
Mailing address
1615 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-1802
(401) 516-9407
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/23/2023
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