Individual
NICOLE LYNNE CICCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
1952 SPRING DR, GARNER, NC 27529-3486
(919) 787-6131
Mailing address
3125 POPLARWOOD CT STE 203, RALEIGH, NC 27604-6445
(919) 787-6131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30495
NC
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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