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NPI Code Detail

MEDICARE: MRS. NICOLE OLIVIA THOMPSON LPC, NCC

MEDICARE:  MRS. NICOLE OLIVIA THOMPSON  LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor4061NC
2101Y00000XCounselor220313NC

General Provider Information

NPI Number : 1932392974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE OLIVIA THOMPSON LPC, NCC
Provider Business Mailing Address
First Line : 520 HOLLINGSWORTH RD
Second Line :
City : FOUR OAKS
State : NC
Zip : 27524-9664
Country : US
Telephone Number : 919-272-8891
Fax Number :
Provider Business Practice Location Address
First Line : 9101 FAYETTEVILLE RD
Second Line :
City : RALEIGH
State : NC
Zip : 27603-5655
Country : US
Telephone Number : 919-866-5471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2007
Last Update Date : 08/23/2007

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Directions to “ MRS. NICOLE OLIVIA THOMPSON LPC, NCC” Practice Location

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