Individual
NICOLE M MOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, NCC
Contact information
Practice address
6 PARK PL W, BREVARD, NC 28712-3081
(828) 553-3875
(888) 717-5718
Mailing address
29 WALNUT HOLLOW RD, BREVARD, NC 28712-8584
(285) 533-8758
(888) 717-5718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12569
NC
101YP2500X
Professional Counselor
Primary
12569
NC
Other
Enumeration date
12/02/2019
Last updated
04/28/2022
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