Individual
NICOLE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
34465 AMBROSE HOOVER RD, TICKFAW, LA 70466-3917
(985) 351-9643
Mailing address
PO BOX 2008, ALBANY, LA 70711-8008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5174
LA
Other
Enumeration date
10/02/2015
Last updated
07/21/2016
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