Individual
MRS. NICOLE ADAMS FOMPUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10921 REED HARTMAN HWY, BLUE ASH, OH 45242-2830
(804) 577-3791
Mailing address
484 BEAVERBROOK DR, GAHANNA, OH 43230-3366
(614) 598-2531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1400172
OH
Other
Enumeration date
08/23/2014
Last updated
11/03/2025
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