Individual
NICOLE DEL RISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 OLD VALDOSTA RD, RAY CITY, GA 31645-7132
(706) 714-3856
Mailing address
6900 ROSWELL RD APT H5, SANDY SPRINGS, GA 30328-2213
(706) 714-3856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003611
GA
Other
Enumeration date
11/27/2023
Last updated
11/28/2023
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