Individual provider · Type 1 NPI
Vivian Nichols, B.S., M.S., S.S.P.
Professional Counselor · Fayetteville, GA
NPI number
1407231624
Active
Practice location
170 Hedgerow Trl
Fayetteville, GA 30214-7269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC007332 (GA) |
Professional Counselor: Definition to come...
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About NPI 1407231624
Vivian Nichols, B.S., M.S., S.S.P.'s National Provider Identifier is 1407231624, issued on Jul 29, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, GA. The record was last updated on Jul 29, 2015.