Individual
MRS. CHELSEA DIANE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
(505) 237-0068
Mailing address
12115 LA VISTA GRANDE DR NE, ALBUQUERQUE, NM 87111-6708
(505) 908-1354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-11505
NM
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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