Individual
NICOLE VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 DAVIS AVE STE 100F, PASS CHRISTIAN, MS 39571-4543
(228) 382-3252
Mailing address
PO BOX 87, PASS CHRISTIAN, MS 39571-0087
(228) 382-3252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3045
MS
Other
Enumeration date
03/28/2022
Last updated
11/26/2023
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