Individual
NICOLE AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
148 N SUMMIT AVE, PRESCOTT, AZ 86301-2712
(928) 308-8645
Mailing address
148 N SUMMIT AVE, PRESCOTT, AZ 86301-2712
(928) 308-8645
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-23880
AZ
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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