Individual
NICOLE JULIANA DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1200 N PERKINS RD, N16, STILLWATER, OK 74075-7104
(253) 330-3175
Mailing address
6117 KING ST UNIT A, GREENVILLE, TX 75402-8995
(253) 330-3175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
84227
TX
Other
Enumeration date
03/25/2014
Last updated
12/06/2023
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