Most Relevant Information
Provider Data
NPI Number: | 1003353574 |
Provider Name: | NICOLE MARIE PILLAR M.A. |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 01/23/2017 |
Last Updated: | 01/23/2017 |
Provider Practice Location
5118 PARK AVE STE 500
MEMPHIS
TN
381175713
Practice Location Phone/Fax
Phone: | 9014588638 |
Fax: |
Provider Mailing Location
241 HIGHWAY 641 N STE A
CAMDEN
TN
383201393
Provider Mailing Phone/Fax
Phone: | 7312132214 |
Fax: | 7312132237 |