Individual
BRANDY NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 NORTHEAST DR STE 22, DAVIDSON, NC 28036-7425
(336) 209-2884
Mailing address
153 GRADY WINKLER RD, BOONE, NC 28607-8579
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12380A
NC
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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