Individual
COLTON JAMES VAUGHAN NISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 UNION DR STE 102, LINCOLN, NE 68516-6652
(531) 331-4215
Mailing address
3515 E OVERLAND RD, MERIDIAN, ID 83642-6757
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/14/2022
Last updated
08/29/2024
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