Individual provider · Type 1 NPI

Carolyn J. Nichols, LPC

Counselor · Springfield, MO

NPI number 1497802995 Active

Practice location

1736 E Sunshine St, Plaza Towers-Suite 508
Springfield, MO 65804-1343

Mailing address

4715 E Bittersweet Way
Springfield, MO 65809-2403

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X002622 (MO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1497802995

Carolyn J. Nichols, LPC's National Provider Identifier is 1497802995, issued on Jan 5, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Springfield, MO. The record was last updated on Jul 9, 2007.