Individual
NICOLE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9922 LIBERTY RD, RANDALLSTOWN, MD 21133-1804
(443) 657-3345
Mailing address
9922 LIBERTY RD, RANDALLSTOWN, MD 21133-1804
(443) 657-3345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
639490
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-4488128
—
MD
Enumeration date
10/23/2020
Last updated
10/23/2020
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