Individual provider · Type 1 NPI

Chris Nicely

Mental Health Counselor · Tampa, FL

NPI number 1740890847 Active

Practice location

825 W Linebaugh Ave
Tampa, FL 33612-7855

Mailing address

18303 Big Pond Way
Tampa, FL 33647-2432

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH17615 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1740890847

Chris Nicely's National Provider Identifier is 1740890847, issued on Aug 4, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Aug 4, 2020.