person
Nicole Elizabeth Medina, LCMHCA
Mental Health Counselor in Wilmington, North Carolina
NPI 1841998713

Nicole Elizabeth Medina is a Mental Health Counselor based in Wilmington, NC and is specialized in Mental Health. Nicole Elizabeth Medina practices in Wilmington, NC and has the professional credentials of LCMHCA. The NPI Number for Nicole Elizabeth Medina is 1841998713 and holds a License No. A18422 (North Carolina).

The current practice location address for Nicole Elizabeth Medina is 615 Shipyard Blvd, Wilmington, NC and can be reached out via phone at 910-343-0145 and via fax at 910-341-5779. You can also correspond with Nicole Elizabeth Medina through the mailing address at 615 SHIPYARD BLVD, WILMINGTON, NC - 28412-6431 (mailing address contact number: ).

Location: 615 Shipyard Blvd, Wilmington, NC, 28412-6431
person
Provider Profile Details
NPI Number
1841998713
Provider Name
Nicole Elizabeth Medina
Credential
LCMHCA
Provider Entity Type
Individual
Gender
Female
Address
615 Shipyard Blvd, Wilmington, NC, 28412-6431
Phone Number
910-343-0145
Fax Number
910-341-5779
Provider Enumeration Date
02/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
615 Shipyard Blvd
City
State
Zip
28412-6431
Phone Number
910-343-0145
Fax Number
910-341-5779
person
Provider Business Mailing Address Details
Address
615 Shipyard Blvd
City
State
Zip
28412-6431
Phone Number
910-343-0145
Fax Number
910-341-5779
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
A18422 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A18422 (North Carolina)
Definition
Definition to come...
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