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Individual

NIKOLE AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QMHP-A

Contact information

Practice address
1809 DARVILLE DR, HAMPTON, VA 23663-1914
(757) 532-0516
Mailing address
1809 DARVILLE DR, HAMPTON, VA 23663-1914
(757) 532-0516

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732006512
VA

Other

Enumeration date
03/21/2020
Last updated
03/21/2020
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