Basic Information
| Provider Information | |||||||||
| NPI: | 1891241683 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STROME | ||||||||
| FirstName: | NICOLE | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1590 CRESTVIEW DR | ||||||||
| Address2: | |||||||||
| City: | ASHLAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448053560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192890970 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1590 CRESTVIEW DR | ||||||||
| Address2: | |||||||||
| City: | ASHLAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448053560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192890970 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2016 | ||||||||
| LastUpdateDate: | 05/07/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | C.1700710 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.