Individual
MS. NICOLE E BUDDLE-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 LAKEVIEW PKWY STE 700, ALPHARETTA, GA 30009-9066
(678) 699-6208
(678) 916-3810
Mailing address
2300 LAKEVIEW PKWY STE 700, ALPHARETTA, GA 30009-9066
(678) 699-6208
(678) 916-3810
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 3256
FL
1041C0700X
Clinical Social Worker
Primary
CSW004130
GA
1041C0700X
Clinical Social Worker
SW6986
FL
Other
Enumeration date
11/30/2010
Last updated
05/06/2020
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