Individual
NICOLE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-0324
(337) 475-8917
Mailing address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-0324
(337) 475-8917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5313
LA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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