Individual provider · Type 1 NPI

Tywanna Nicole Nichols, MSW

Mental Health Counselor · Muskogee, OK

NPI number 1568532893 Active

Practice location

4009 Eufaula Ave
Muskogee, OK 74403-1132

Call (918) 682-2841 Map

Fax (918) 682-3359

Mailing address

2808 Monta Pl
Muskogee, OK 74403-6036

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1568532893

Tywanna Nicole Nichols, MSW's National Provider Identifier is 1568532893, issued on Nov 8, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Muskogee, OK. The record was last updated on Jul 8, 2007.