Individual provider · Type 1 NPI
Judy Nicholson
Mental Health Counselor · Las Vegas, NV
NPI number
1760965503
Active
Practice location
2810 W Charleston Blvd Ste 77
Las Vegas, NV 89102-1910
Mailing address
5805 W Harmon Ave Spc 261
Las Vegas, NV 89103-4871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CI0406 (NV) |
Mental Health Counselor: Definition to come...
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About NPI 1760965503
Judy Nicholson's National Provider Identifier is 1760965503, issued on Sep 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 7, 2018.