Individual provider · Type 1 NPI

Jasmine Loren Nichols

Mental Health Counselor · Roxbury, MA

NPI number 1740824705 Active

Practice location

520 Dudley St
Roxbury, MA 02119-2769

Call (617) 989-9499 Map

Mailing address

35 Neponset Ave Apt 2
Hyde Park, MA 02136-3432

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740824705

Jasmine Loren Nichols's National Provider Identifier is 1740824705, issued on Nov 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roxbury, MA. The record was last updated on Nov 3, 2019.