Individual
SHELLEY BLANCETT NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1030 ANDREWS HWY, STE 105-H, MIDLAND, TX 79701
(432) 247-1221
Mailing address
1030 ANDREWS HWY, STE 105-H, MIDLAND, TX 79701-3895
(432) 620-5800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
19072
TX
103TC0700X
Clinical Psychologist
Primary
36329
TX
Other
Enumeration date
01/22/2014
Last updated
07/06/2020
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