Individual provider · Type 1 NPI

Carol Sue Nichols, MA

Mental Health Counselor · Booneville, MS

NPI number 1386459634 Active

Practice location

603 E Church St
Booneville, MS 38829-3711

Call (662) 728-2488 Map

Mailing address

860 E River Pl Ste 100
Jackson, MS 39202-3442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386459634

Carol Sue Nichols, MA's National Provider Identifier is 1386459634, issued on Feb 12, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Booneville, MS. The record was last updated on Feb 12, 2025.