Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | A10586 | NC |
N | 101YS0200X | School Counselor | NC |
NPI | 1184162638 |
---|---|
Provider Name | Nichell Newton |
First Address | Mount Holly, NC 28120-9058 |
Second Address | Mount Holly, NC 28120-9058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2017 |
Last Update Date | 05/02/2017 |