Individual
NICOLE FORRISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
132 POPLAR GROVE CONNECTOR STE B, BOONE, NC 28607-6121
(828) 264-8759
(828) 264-5860
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14378
NC
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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