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Individual
THERESA ARNETT NICKOLAUS
Active
Individual
THERESA ARNETT NICKOLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC LIMHP CIMHP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1520
NE
101YM0800X
Mental Health Counselor
Primary
9315
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026546100
—
NE
Enumeration date
04/07/2011
Last updated
09/16/2020
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