Individual
MRS. NICOLE EVE FAYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
19662 WOOTTON AVE, SUITE 203, POOLESVILLE, MD 20837-3003
(240) 271-7689
Mailing address
19662 WOOTTON AVE, SUITE 203, POOLESVILLE, MD 20837-3003
(240) 271-7689
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC3474
MD
Other
Enumeration date
11/06/2010
Last updated
05/03/2017
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