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:
Health care specialties
Specialty | Code | License # | 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 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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