Individual
NICOLE A THOLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1713 WYNNDOWNE TRL SE, SMYRNA, GA 30080-2480
(404) 909-7113
(770) 437-8413
Mailing address
2470 WINDY HILL RD SE STE 252, MARIETTA, GA 30067-8619
(770) 765-1652
(678) 426-8464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006965
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003204125A
—
GA
Enumeration date
09/15/2012
Last updated
12/02/2022
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