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Individual

NICOLE LOPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1838
(704) 237-4240
(704) 785-8304
Mailing address
4555 MCCRIMMON PKWY APT 1331, MORRISVILLE, NC 27560-4918
(203) 731-7848

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27855
NC
1041C0700X
Clinical Social Worker
P018561
NC

Other

Enumeration date
12/16/2021
Last updated
03/28/2023
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