Individual provider · Type 1 NPI

Gloria Nadine Nichols, B.S., LCDC III

Addiction (Substance Use Disorder) Counselor · Fairborn, OH

NPI number 1225515646 Active

Practice location

302 W Main St
Fairborn, OH 45324-5037

Fax (937) 318-1120

Mailing address

3103 Dixie Hwy
Hamilton, OH 45015-1653

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCIII.162320 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225515646

Gloria Nadine Nichols, B.S., LCDC III's National Provider Identifier is 1225515646, issued on Jul 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairborn, OH. The record was last updated on Jun 21, 2024.