Individual
NICOLE G FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 COMMERCE DRIVE, DILLON, SC 29536
(843) 544-4060
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512
(843) 544-4060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10008
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
01/31/2020
Last updated
07/11/2025
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