Individual
MS. NICOLE TRISTA GUTTERMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MED, NCC, LPC
Contact information
Practice address
903 CRESTVIEW RD, EASLEY, SC 29642-3202
(864) 270-9362
Mailing address
903 CRESTVIEW RD, EASLEY, SC 29642-3202
(864) 270-9362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7473
SC
Other
Enumeration date
06/17/2021
Last updated
09/26/2024
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