Individual
MICHAEL B. NICHOLSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
425 BROADWAY ST STE 201, PADUCAH, KY 42001-0713
(270) 442-7121
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
162814
KY
Other
Enumeration date
01/19/2009
Last updated
10/22/2024
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