Organization
JODI NICHOLSON, PHD, LPC-S, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI NICHOLSON PHD, LPC-S (LICENSED PROFESSIONAL COUNSELOR)
(682) 463-1012
Entity
Organization
Contact information
Practice address
212 N TARRANT ST STE 101, CROWLEY, TX 76036-2593
(682) 463-1012
Mailing address
212 N TARRANT ST STE 101, CROWLEY, TX 76036-2593
(682) 463-1012
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
12/01/2021
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