Individual
MS. NICOLE NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1217 BONITA ST, PMS DBA WNMMG, GRANTS, NM 87020-2103
(505) 287-2273
Mailing address
PO BOX 217, GRANTS, NM 87020-0217
(505) 287-9340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0085381
NM
Other
Enumeration date
09/20/2011
Last updated
06/30/2016
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