Individual
BRANDI M NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
103 2ND AVE, CHESAPEAKE, OH 45619-1134
(740) 451-7627
Mailing address
103 2ND AVE, CHESAPEAKE, OH 45619-1134
(740) 451-7627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.174577
OH
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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