Individual provider · Type 1 NPI
John Kelly Nicolas, MHC
Mental Health Counselor · Newburgh, NY
NPI number
1245053479
Active
Practice location
13 Old South Plank Rd
Newburgh, NY 12550-1528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 18-P131615-01 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1245053479
John Kelly Nicolas, MHC's National Provider Identifier is 1245053479, issued on Nov 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newburgh, NY. The record was last updated on Nov 5, 2024.