MS. Nicole Ivory Goicuria, MA
NPI #1003096561 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1003096561
- Entity Type
- Individual
- Name
- MS. Nicole Ivory Goicuria, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Nov 13, 2007
- Last Updated
- Nov 13, 2007
Practice Location
- Address
- 2514 N BROAD ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19132-4013
- Phone
- (215) 599-2808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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