Individual provider · Type 1 NPI
Krystal Nicodemus, LPC
Mental Health Counselor · Fairview, TX
NPI number
1952025587
Active
Practice location
163 Town Pl # 26
Fairview, TX 75069-1821
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 85621 (TX) |
Mental Health Counselor: Definition to come...
Another provider at this address
About NPI 1952025587
Krystal Nicodemus, LPC's National Provider Identifier is 1952025587, issued on Sep 27, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairview, TX. The record was last updated on Oct 5, 2026.