Individual
ASHLEIGH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 JENNIFER CT, WOOD DALE, IL 60191-2749
(630) 485-9046
Mailing address
287 LORTON AVE, BURLINGAME, CA 94010-4203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180014647
IL
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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