Individual provider · Type 1 NPI
Nicole Jane Tableriou, LPC, LCDC
Mental Health Counselor · Georgetown, TX
NPI number
1083272041
Active
Practice location
2011 Fountainwood Dr
Georgetown, TX 78633-1907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13848 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 77670 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1083272041
Nicole Jane Tableriou, LPC, LCDC's National Provider Identifier is 1083272041, issued on Jun 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Georgetown, TX. The record was last updated on Jun 4, 2019.