Individual
GARRETT NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1219 K ST NW, ARDMORE, OK 73401-1801
(580) 798-4529
(580) 319-5349
Mailing address
2331 YELLOW PAGE RD, RATLIFF CITY, OK 73481-8241
(580) 222-6156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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