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General NPI Number Information
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NPI Number | 1326847351
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Entity Type | Individual
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Provider Name | NICOLE CHARLENE FREY LGPC
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Gender | Female
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1430 SOLOMONS ISLAND RD
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City | HUNTINGTOWN
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State | MD
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Zip | 20639-8711
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Country | US
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Telephone | 410-474-5595
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Fax |
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Provider Business Mailing Address
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Address Line | 704 SPRUCE DR
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City | LUSBY
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State | MD
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Zip | 20657-2065
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Country | US
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Telephone | 443-532-4576
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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 | LGP14922
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License Number State | MD
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