Individual
NICOLE LYN BLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2061 PANTHER PKWY, SMITHS STATION, AL 36877-2307
(334) 577-4978
Mailing address
2061 PANTHER PKWY, SMITHS STATION, AL 36877-2307
(334) 577-4978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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