Nicole Siegel, LCSW, LCDC

NPI #1194134528 in Southlake, Texas

Provider Information

NPI Number: 1194134528
Entity Type: Individual
Name: Nicole Siegel, LCSW, LCDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW, LCDC
Enumeration Date: Aug 11, 2014
Last Updated: Apr 26, 2017

Practice Location

Address: 2485 E SOUTHLAKE BLVD STE 180
City: Southlake
State: Texas
ZIP Code: 76092-6687
Phone: (682) 593-1272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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