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Mrs. Nicole Lively
Mental Health Counselor in Baltimore, Maryland
NPI 1932312006

Nicole Lively is a Mental Health Counselor based in Baltimore, MD and is specialized in Mental Health. Nicole Lively practices in Baltimore, MD. The NPI Number for Nicole Lively is 1932312006 and holds a License No. W10821023 (Maryland).

The current practice location address for Nicole Lively is 7400 York Rd, Baltimore, MD and can be reached out via phone at 410-828-6656.

Location: 7400 York Rd, Baltimore, MD, 21204-7531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932312006
Provider Name
Nicole Lively
Credential
Provider Entity Type
Individual
Gender
Female
Address
7400 York Rd, Baltimore, MD, 21204-7531
Phone Number
410-828-6656
Fax Number
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7400 York Rd
City
Baltimore
State
Maryland
Zip
21204-7531
Phone Number
410-828-6656
Fax Number
person
Provider Business Mailing Address Details
Address
7400 York Rd
City
Baltimore
State
Maryland
Zip
21204-7531
Phone Number
410-828-6656
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
W10821023 (Maryland)
Definition
Definition to come...
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