Individual
NICOLE GENOVA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
400 S MAIN ST, MAULDIN, SC 29662-2251
(864) 915-8219
Mailing address
216 VESPER CIR, MAULDIN, SC 29662-2522
(864) 915-8219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7571
SC
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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