Individual provider · Type 1 NPI

Larry Michael Nicholls

Mental Health Counselor · Portland, OR

NPI number 1508655101 Active

About NPI 1508655101

Larry Michael Nicholls's National Provider Identifier is 1508655101, issued on May 1, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 1, 2025.