Individual
DR. NICOLE JUSTINE MASSEY-HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LCP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.008385
IL
103TC0700X
Clinical Psychologist
Primary
071008745
IL
Other
Enumeration date
03/07/2011
Last updated
09/08/2021
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