Individual
NICOLE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(228) 497-0690
Mailing address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(228) 497-0690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0177821
NM
101YP2500X
Professional Counselor
Primary
0177821
NM
Other
Enumeration date
02/11/2015
Last updated
06/29/2016
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