Individual provider · Type 1 NPI
Tracy Nichols
Pastoral Counselor · Douglasville, GA
NPI number
1255724704
Active
Practice location
5300 Brickleberry Way, Suite 103
Douglasville, GA 30134-4066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | 11102014 (GA) |
Pastoral Counselor: Definition to come...
Another provider at this address
About NPI 1255724704
Tracy Nichols's National Provider Identifier is 1255724704, issued on Mar 9, 2015. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Douglasville, GA. The record was last updated on Jul 15, 2020.