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NPI 1912633660 · live from the CMS NPI Registry

Nicole Genova Allen, LPC

Counselor, Professional in Mauldin, SC. National Provider Identifier 1912633660, active.

NPI record

NPI1912633660 Type 1 · individual
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location400 S Main St, Mauldin, SC 29662
Practice phone864-915-8219
Mailing address216 Vesper Cir, Mauldin, SC 29662
EnumeratedJuly 26, 2022
Last updatedJuly 26, 2022
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional primary101YP2500X7571 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.