Individual provider · Type 1 NPI
Brenda Larue Nichols, MFT INTERN
Mental Health Counselor · Torrance, CA
NPI number
1679609960
Active
Practice location
4025 W 226th St
Torrance, CA 90505-2340
Fax (310) 373-4096
Mailing address
13107 S Saint Andrews Pl
Gardena, CA 90249-1831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 58785 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1679609960
Brenda Larue Nichols, MFT INTERN's National Provider Identifier is 1679609960, issued on Feb 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Torrance, CA. The record was last updated on Feb 22, 2011.