Provider Demographics
NPI:1265943179
Name:SINNIGEN, NICOLE MARIE (MS, LPC, NCC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:MARIE
Last Name:SINNIGEN
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 WHIRLAWAY DR
Mailing Address - Street 2:
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-6894
Mailing Address - Country:US
Mailing Address - Phone:843-499-3308
Mailing Address - Fax:
Practice Address - Street 1:272 WHIRLAWAY DR
Practice Address - Street 2:
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-6894
Practice Address - Country:US
Practice Address - Phone:843-499-3308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7191101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health