Individual provider · Type 1 NPI

Nicole Latrece Nichols, LMHC

Mental Health Counselor · Starke, FL

NPI number 1548564883 Active

Practice location

945 Grand St
Starke, FL 32091-1821

Mailing address

4300 SW 13th St
Gainesville, FL 32608-4006

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548564883

Nicole Latrece Nichols, LMHC's National Provider Identifier is 1548564883, issued on Dec 30, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Starke, FL. The record was last updated on Dec 14, 2015.