Individual
MRS. REBECCA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11713 M CIR, OMAHA, NE 68137-2218
(402) 933-4411
Mailing address
7426 N 143RD ST, OMAHA, NE 68142-2134
(402) 719-9392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-993
NE
101YM0800X
Mental Health Counselor
Primary
4237
NE
Other
Enumeration date
09/28/2010
Last updated
06/16/2015
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