Individual provider · Type 1 NPI

Mary Marie Nichols, LPC-CANDIDATE

Professional Counselor · Edmond, OK

NPI number 1376492447 Active

Practice location

15128 Traditions Blvd Ste A
Edmond, OK 73013-1220

Call (405) 474-5359 Map

Mailing address

PO Box 282
Luther, OK 73054-0282

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPCCANDIDATE13196 (OK)

Professional Counselor: Definition to come...

3 other providers at this address

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About NPI 1376492447

Mary Marie Nichols, LPC-CANDIDATE's National Provider Identifier is 1376492447, issued on Jan 22, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edmond, OK. The record was last updated on Jan 22, 2026.