Individual provider · Type 1 NPI
Nicole Nichols, LPC
Professional Counselor · Tickfaw, LA
NPI number
1053781062
Active
Practice location
34465 Ambrose Hoover Rd
Tickfaw, LA 70466-3917
Mailing address
PO Box 2008
Albany, LA 70711-8008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5174 (LA) |
Professional Counselor: Definition to come...
About NPI 1053781062
Nicole Nichols, LPC's National Provider Identifier is 1053781062, issued on Oct 2, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tickfaw, LA. The record was last updated on Jul 21, 2016.