Individual
MRS. NICOLE OLIVIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
9101 FAYETTEVILLE RD, RALEIGH, NC 27603-5655
(919) 866-5471
Mailing address
520 HOLLINGSWORTH RD, FOUR OAKS, NC 27524-9664
(919) 272-8891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
220313
NC
101Y00000X
Counselor
Primary
4061
NC
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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