Provider Demographics
NPI:1528297686
Name:PARISH, NICOLE LYNNE (MA, NCC, LPC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:LYNNE
Last Name:PARISH
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 WESTRIDGE RD
Mailing Address - Street 2:STE 103
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-1148
Mailing Address - Country:US
Mailing Address - Phone:814-444-9696
Mailing Address - Fax:814-444-0345
Practice Address - Street 1:445 WESTRIDGE RD
Practice Address - Street 2:STE 103
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1148
Practice Address - Country:US
Practice Address - Phone:814-444-9696
Practice Address - Fax:814-444-0345
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional