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Individual

MRS. NICOLE S DEEMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S., LMFT, LAC

Contact information

Practice address
311 MEETZE AVE STE H, LEXINGTON, SC 29072-2625
(803) 470-3786
Mailing address
306 DROOPING LEAF RD, LEXINGTON, SC 29072-6880
(803) 600-2682

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1102249
SC
106H00000X
Marriage & Family Therapist
Primary
4518
SC

Other

Enumeration date
05/14/2007
Last updated
07/01/2019
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