Richmond, Nicole E L

Richmond, Nicole E L is an individual health care provider with primary practice located at 120 W Forest Ave , East Peoria IL 61611-3031. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Richmond, Nicole E L can be contacted via phone (309) 643-4710.

Contact Information

Primary practice address
120 W Forest Ave East Peoria IL 61611-3031
Phone: (309) 643-4710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178020074 Illinois

Profile Details

NPI number 1649011073
LBN Legal business name Richmond, Nicole E L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2024
Last updated May 31st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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