Individual
NICOLE CARSON DEGOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1016 W. UNIVERSITY #202, FLAGSTAFF, AZ 86001
(928) 773-7774
(928) 774-1148
Mailing address
1016 W. UNIVERSITY #202, FLAGSTAFF, AZ 86001
(928) 773-7774
(928) 774-1148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4026
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550534
—
AZ
Enumeration date
11/03/2008
Last updated
07/13/2011
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