Individual provider · Type 1 NPI

Jamie Lee Nicholson

Mental Health Counselor · Los Angeles, CA

NPI number 1760779813 Active

Practice location

5849 Crocker St
Los Angeles, CA 90003-1311

Mailing address

PO Box 43071
Los Angeles, CA 90043-0071

Other practice locations

  • 11315 Atlantic Ave, Lynwood, CA 90262-3007 · (310) 537-5883
  • 11315 Atlantic Ave, Lynwood, CA 90262-3007 · (310) 537-5883

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Mental Health Counselor Primary 101YM0800X79256 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1760779813

Jamie Lee Nicholson's National Provider Identifier is 1760779813, issued on Jul 8, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 17, 2018.