Individual
NICOLE MICHELLE MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LCMHC
Contact information
Practice address
21 BIRCHWOOD DR, RYE, NH 03870-2321
(650) 766-2088
Mailing address
839 CENTRAL AVE, #5, DOVER, NH 03820-2506
(650) 766-2088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1034
NH
101YM0800X
Mental Health Counselor
469
CA
Other
Enumeration date
08/20/2013
Last updated
02/03/2014
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