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Organization
JULIA M NICKLE LMHC, INC
Active
Organization
JULIA M NICKLE LMHC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA M NICKLE LMHC (OWNER)
(417) 812-4866
Entity
Organization
Contact information
Practice address
3997 COMMONS DR W, STE C, DESTIN, FL 32541-8443
(850) 376-5107
Mailing address
PO BOX 11224, SPRINGFIELD, MO 65808-1224
(417) 812-4866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8238
FL
Other
Enumeration date
01/05/2012
Last updated
02/23/2015
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