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Nicole Price
Mental Health Counselor in Glen Carbon, Illinois
NPI 1538891734

Nicole Price is a Mental Health Counselor based in Glen Carbon, IL and is specialized in Mental Health. Nicole Price practices in Glen Carbon, IL. The NPI Number for Nicole Price is 1538891734 and holds a License No. (Illinois).

The current practice location address for Nicole Price is 88 S Main St Ste 2, Glen Carbon, IL and can be reached out via phone at 618-288-8085 and via fax at 618-288-8959.

Location: 88 S Main St Ste 2, Glen Carbon, IL, 62034-0639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538891734
Provider Name
Nicole Price
Credential
Provider Entity Type
Individual
Gender
Female
Address
88 S Main St Ste 2, Glen Carbon, IL, 62034-0639
Phone Number
618-288-8085
Fax Number
618-288-8959
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19700036 01 IMCANS
institution
Provider Business Practice Location Address Details
Address
88 S Main St Ste 2
City
Glen Carbon
State
Illinois
Zip
62034-1415
Phone Number
618-288-8085
Fax Number
618-288-8959
person
Provider Business Mailing Address Details
Address
88 S Main St Ste 2
City
Glen Carbon
State
Illinois
Zip
62034-1415
Phone Number
618-288-8085
Fax Number
618-288-8959
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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