Individual
TONI NICOLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1502 HIGHWAY 54 WEST, SUITE 505, DURHAM, NC 27707
(919) 438-1942
Mailing address
1502 HIGHWAY 54 WEST, SUITE 505, DURHAM, NC 27707
(919) 438-1942
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12008A
NC
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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