Doctor Name: | MS. NICOLE LYNNE ALBERT |
NPI Number: | 1073819553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC002453 |
Business Practice Address: | 4056 Wetherburn Way Suite 8 Norcross, GA - 300924608 |
Business Phone Number: | 7704090005 |
Business Fax Number: | |
Mailing Address: | 4056 Wetherburn Way, Suite 8 NORCROSS |
State: | GA |
Postal Code: | 300924608 |
Phone Number: | 7704090005 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2011 |
NPI Last Update Date: | 02/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC002453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |