Individual
SHILA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NLP PRACTITIONER
Contact information
Practice address
101 W 4TH ST, JASPER, MO 64755
(417) 483-0295
Mailing address
PO BOX 75, ORONOGO, MO 64855-0075
(417) 483-0295
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
405300000X
Prevention Professional
6222
CA
Other
Enumeration date
03/19/2024
Last updated
05/13/2024
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