Individual
MRS. NICOLE PEARL CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LADC, LPN
Contact information
Practice address
12 UNION ST, ROCKLAND, ME 04841-2739
(907) 250-6499
Mailing address
15 BLACKBERRY LN, S THOMASTON, ME 04858-3315
(907) 250-6499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7180
ME
106H00000X
Marriage & Family Therapist
Primary
MF6612
ME
106H00000X
Marriage & Family Therapist
MI0186
NV
Other
Enumeration date
06/15/2010
Last updated
12/21/2023
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