# MR. TERRANCE S. MC NICHOLAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568576106
- **Gender:** Man
- **Credential:** L.C.S.W.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 149008023 | IL | — |
| 1041C0700X | Clinical Social Worker | 149008023 | IL | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 03/06/2019