Individual provider · Type 1 NPI

Grace E. Nichols, MED, LPC

Mental Health Counselor · Beaumont, TX

NPI number 1265706543 Active

Practice location

3560 Delaware St, Suite 104
Beaumont, TX 77706-3067

Fax (409) 899-4606

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X63291 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1265706543

Grace E. Nichols, MED, LPC's National Provider Identifier is 1265706543, issued on Mar 3, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaumont, TX. The record was last updated on Mar 3, 2012.