Individual
DEBORA SUE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26670 5TH STREET, FIRST BAPTIST CHURCH, ARDMORE, AL 35739
(256) 585-0222
(256) 423-7177
Mailing address
29319 LAKEVIEW DRIVE, ARDMORE, AL 35739
(256) 585-0222
(256) 423-7177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1551
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51524370
BCBS
AL
Enumeration date
05/24/2006
Last updated
07/08/2007
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