Individual
REBECCA JO NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 372-4660
Mailing address
603B DAVID DR, MOUNTAIN VIEW, MO 65548-8207
(417) 372-4660
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
201100811
MO
101YP2500X
Professional Counselor
Primary
2011008110
MO
Other
Enumeration date
03/20/2012
Last updated
04/07/2026
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