Individual
NICKOLE GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
84 GROCE RD, LYMAN, SC 29365-1761
(864) 439-7760
Mailing address
406 CIRCLESTONE CT, MOORE, SC 29369-8906
(864) 905-0633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7915
SC
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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