Individual
NICOLE ANN CRONQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
455 LAKESHORE PKWY, ROCK HILL, SC 29730-4205
(803) 909-6363
Mailing address
455 LAKESHORE PKWY, ROCK HILL, SC 29730-4205
(803) 909-6363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
8933
SC
Other
Enumeration date
01/03/2024
Last updated
07/30/2024
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