Individual provider · Type 1 NPI

Angela Nichols

Mental Health Counselor · Bastrop, LA

NPI number 1225445059 Active

Practice location

209 W Jefferson Ave
Bastrop, LA 71220-4543

Call (318) 239-3890 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4870 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1225445059

Angela Nichols's National Provider Identifier is 1225445059, issued on Jul 14, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bastrop, LA. The record was last updated on Jul 14, 2014.