Individual
ELIZABETH ISHAM NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
105 TUSCANY RD # 109, BALTIMORE, MD 21210-3098
(443) 465-4794
Mailing address
7001 CHARLES RIDGE RD, BALTIMORE, MD 21204-3608
(443) 465-4794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2730
MD
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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