Nicole Joseph
Counselor, Mental Health in Hogansville, GA. Individual provider (NPI-1).
NPI number1164043824
StatusActive
Last updated in NPPESMay 4, 2020
Details
- NPI
- 1164043824
- Entity type
- Individual (NPI-1)
- Name
- Nicole Joseph
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2020
- Certification date
- May 4, 2020
- Last updated
- May 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
206 Jerry DrHogansville, GA 30230-2701
Phone 706-977-8936
Mailing address
206 Jerry DrHogansville, GA 30230-2701
Phone 706-977-8936
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