Individual
NICOLE GENUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 S MAIN ST STE A, LEXINGTON, NC 27292-3134
(336) 242-2450
Mailing address
284 EXECUTIVE PARK DR, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24591
NC
1041C0700X
Clinical Social Worker
PO12871
NC
Other
Enumeration date
11/17/2018
Last updated
11/27/2018
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