Chacin, Nicole
Chacin, Nicole is an sole proprietor health care provider with primary practice located at 271B S Culver St , Lawrenceville GA 30046-4805. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Chacin, Nicole can be contacted via phone (678) 824-5899.Contact Information
Primary practice address
271B S Culver St
Lawrenceville GA 30046-4805
Phone: (678) 824-5899
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 008888 | Georgia |
Profile Details
| NPI number | 1679726376 |
|---|---|
| LBN Legal business name | Chacin, Nicole |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Mar 17th, 2018 - about 8 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679726376 | NPPES |
| Georgia | MEDICAID | 003178904A |
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