Individual
LEAH J NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 E CHESTNUT STREET, COWETA, OK 74429
(918) 279-6565
Mailing address
346 E CHESTNUT STREET, COWETA, OK 74429
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
04/10/2024
Last updated
04/02/2026
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