Individual provider · Type 1 NPI

Amy Rebecca Nichols, LPC

Professional Counselor · Dallas, TX

NPI number 1558596304 Active

Practice location

4701 Samuell Blvd
Dallas, TX 75228-6828

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	64110 (TX)

Professional Counselor: Definition to come...

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About NPI 1558596304

Amy Rebecca Nichols, LPC's National Provider Identifier is 1558596304, issued on May 22, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on May 22, 2009.