Individual provider · NPI-1

Nicole A Bagge, LMHC

Counselor, Mental Health · Palm Beach Gardens, FL

NPI number1093958159
StatusActive
Last updated in NPPESApr 19, 2009

Details

NPI
1093958159
Entity type
Individual (NPI-1)
Name
Mrs. Nicole A Bagge
Credential
LMHC
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 19, 2009
Last updated
Apr 19, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH 9507FLYes

Practice location

3307 Northlake Blvd
B104
Palm Beach Gardens, FL 33403-1703

Phone 561-254-7226

Mailing address

3307 Northlake Blvd
B104
Palm Beach Gardens, FL 33403-1703

Phone 561-254-7226

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