Individual
NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS, APCC
Contact information
Practice address
79655 MILES AVE, INDIO, CA 92201-0900
(760) 200-3700
Mailing address
7 MISSION CT, RANCHO MIRAGE, CA 92270-1301
(760) 902-6195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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