Individual
CHRISTINE M NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150.101320
IL
1041C0700X
Clinical Social Worker
Primary
149.020240
IL
Other
Enumeration date
01/16/2017
Last updated
05/18/2026
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