Nicole Brown, LCPC
Counselor, Professional in Peoria, IL. Individual provider (NPI-1).
NPI number1104798693
StatusActive
Last updated in NPPESSep 23, 2025
Details
- NPI
- 1104798693
- Entity type
- Individual (NPI-1)
- Name
- Nicole Brown
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2025
- Certification date
- Sep 23, 2025
- Last updated
- Sep 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180.017501 | IL | Yes |
Practice location
416 Main St Ste 601Peoria, IL 61602-3126
Phone 309-945-3305
Mailing address
416 Main St Ste 601Peoria, IL 61602-3126
Phone 309-945-3305
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