Provider Demographics
NPI:1922404946
Name:PIERCE, NICOLE ALLISON (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:ALLISON
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:ALLISON
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 794
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91021-0794
Mailing Address - Country:US
Mailing Address - Phone:818-583-7245
Mailing Address - Fax:
Practice Address - Street 1:2027 MONTROSE AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1604
Practice Address - Country:US
Practice Address - Phone:818-583-7245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-19
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist