Individual
NICOLE C FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10520 LITTLE BRIER CREEK LN # 205, RALEIGH, NC 27617-2012
(984) 244-2111
Mailing address
7660 SUMTER CREST DR APT 6001, RALEIGH, NC 27617-6803
(843) 377-9264
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P013231
NC
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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