Individual provider · Type 1 NPI
Cedric Nicholson
Mental Health Counselor · Provo, UT
NPI number
1962870279
Active
Practice location
1726 Buckley Ln
Provo, UT 84606-5031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1962870279
Cedric Nicholson's National Provider Identifier is 1962870279, issued on Sep 3, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on Sep 3, 2015.