Individual provider · Type 1 NPI

Jill Nichols, LPC

Professional Counselor · Edmond, OK

NPI number 1699285601 Active

Practice location

2221 E Memorial Rd
Edmond, OK 73013-5518

Call (405) 779-0131 Map

Mailing address

3609 Baird Dr
Edmond, OK 73013-6332

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3804 (OK)

Professional Counselor: Definition to come...

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About NPI 1699285601

Jill Nichols, LPC's National Provider Identifier is 1699285601, issued on Oct 4, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edmond, OK. The record was last updated on Oct 4, 2017.