Individual provider · Type 1 NPI

Lesa Nicholes

Mental Health Counselor · Salem, OR

NPI number 1437996956 Active

Practice location

2355 State St Ste 101
Salem, OR 97301-4541

Call (832) 451-9651 Map

Mailing address

5614 W Grand Pkwy S Ste 102
Richmond, TX 77406-5820

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	95198 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1437996956

Lesa Nicholes's National Provider Identifier is 1437996956, issued on Jul 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Aug 9, 2024.