Individual
MRS. NICOLE LEIGH BETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., LMFT, RPT
Contact information
Practice address
8201 EMERALD DR, EMERALD ISLE, NC 28594-2746
(252) 675-5550
(252) 631-0717
Mailing address
7308 CANAL DR, EMERALD ISLE, NC 28594-3007
(252) 675-5550
(252) 631-0717
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105322
—
NC
Enumeration date
05/28/2010
Last updated
07/19/2022
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