Individual provider · Type 1 NPI

Theron Robert Nicholson, LMHC

Mental Health Counselor · Las Cruces, NM

NPI number 1124498423 Active

Practice location

211 N Water St
Las Cruces, NM 88001-1219

Call (505) 295-4182 Map

Fax (575) 520-2824

Mailing address

5305 Mcnutt Rd
Santa Teresa, NM 88008-8937

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCTB-2025-0065 (NM)
Community Health Worker 172V00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124498423

Theron Robert Nicholson, LMHC's National Provider Identifier is 1124498423, issued on Sep 29, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Cruces, NM. The record was last updated on Oct 22, 2025.