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Nicole R Legrand, CDCA

Counselor, Addiction (Substance Use Disorder) in South Point, OH. Individual provider (NPI-1).

NPI number1669976510
StatusActive
Last updated in NPPESMar 23, 2018

Details

NPI
1669976510
Entity type
Individual (NPI-1)
Name
Nicole R Legrand
Credential
CDCA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 23, 2018
Last updated
Mar 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.166423OHYes

Practice location

17 Private Drive 2089
South Point, OH 45680-7388

Phone 740-532-3767

Mailing address

214 S 4th St
Ironton, OH 45638-1610

Phone 740-532-3767 · Fax 740-532-3385

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