Individual
NICOLE VAN WAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
101B REGENCY COMMONS DR, GREER, SC 29650-5210
(864) 655-4002
(864) 655-4003
Mailing address
101B REGENCY COMMONS DR, GREER, SC 29650-5210
(864) 655-4002
(864) 655-4003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11726
SC
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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