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General NPI Number Information
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NPI Number | 1043802036
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Entity Type | Individual
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Provider Name | NICOLE ANN ANDREWS PHD, LCPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1059 NATIONAL HWY
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City | LAVALE
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State | MD
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Zip | 21502-7391
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Country | US
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Telephone | 301-697-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 21317 CHARLESTOWN RD SW
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City | LONACONING
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State | MD
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Zip | 21539-1394
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Country | US
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Telephone | 301-697-3444
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC11143
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License Number State | MD
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