Individual
NICOLE RENEE PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PS018590
PA
Other
Enumeration date
09/12/2016
Last updated
02/06/2026
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