Individual provider · Type 1 NPI

Larry Monroe Nichols

Mental Health Counselor · Fleming Island, FL

NPI number 1871861377 Active

Practice location

4375 US Highway 17, Suite 103
Fleming Island, FL 32003-4832

Call (904) 269-0086 Map

Fax (904) 269-0499

Mailing address

4375 US 17, Suite 103
Fleming Island, FL 32003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11033 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1871861377

Larry Monroe Nichols's National Provider Identifier is 1871861377, issued on Dec 12, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fleming Island, FL. The record was last updated on Jan 30, 2017.