Individual
MRS. NICOLE F GASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A, LCMHC-A
Contact information
Practice address
4341 CHARLOTTE HWY STE 203, LAKE WYLIE, SC 29710-7062
(803) 701-0212
Mailing address
4341 CHARLOTTE HWY STE 203, LAKE WYLIE, SC 29710-7062
(803) 701-0212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCA6539
SC
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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