Individual provider · Type 1 NPI

Raquel Renee Nicholson, LCAS-A

Addiction (Substance Use Disorder) Counselor · Greenville, NC

NPI number 1124748835 Active

Practice location

Port Health Services, 4300-110 Sapphire Court
Greenville, NC 27834

Call (252) 752-0483 Map

Mailing address

4641 Boyds Rd
Grimesland, NC 27837-8930

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-28336 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124748835

Raquel Renee Nicholson, LCAS-A's National Provider Identifier is 1124748835, issued on Sep 1, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greenville, NC. The record was last updated on Sep 1, 2022.