Individual provider · Type 1 NPI
Connie Sue Nichols, LMHC, IAADC
Mental Health Counselor · Bettendorf, IA
NPI number
1104146380
Active
Practice location
702 Park Ave
Bettendorf, IA 52722-5684
Mailing address
407 W 2nd St
Sioux City, IA 51103-4505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15118 (IA) |
| Mental Health Counselor Primary | 101YM0800X | 001526 (IA) |
Mental Health Counselor: Definition to come...
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About NPI 1104146380
Connie Sue Nichols, LMHC, IAADC's National Provider Identifier is 1104146380, issued on Jun 10, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bettendorf, IA. The record was last updated on Nov 3, 2017.