Waddy, Nicolle R

Waddy, Nicolle R is an sole proprietor health care provider with primary practice located at 6327 Foster St , District Heights MD 20747-4929. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Waddy, Nicolle R can be contacted via phone (202) 805-3376.

Contact Information

Primary practice address
6327 Foster St District Heights MD 20747-4929
Phone: (202) 805-3376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC15245 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC15245 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC15245 Maryland

Profile Details

NPI number 1043805351
LBN Legal business name Waddy, Nicolle R
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2021
Last updated Jun 27th, 2024 - about 5 months ago

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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