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Individual

NICOLE DAIGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
51 UNION ST, SUITE 214, WORCESTER, MA 01608-1194
(508) 769-7812
(508) 519-5882
Mailing address
51 UNION ST STE G02, WORCESTER, MA 01608-1138
(508) 556-0745
(508) 519-5882

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
6976
MA
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
6976
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023770
MA
Enumeration date
12/19/2006
Last updated
10/17/2018
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