Individual
JONISHA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 589-8600
Mailing address
70 GRAY HAWK DR, SHELBYVILLE, KY 40065-7376
(502) 320-7227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
169151
KY
101YP2500X
Professional Counselor
Primary
169151
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100422430
—
KY
05
—
9497
—
KY
Enumeration date
08/05/2014
Last updated
02/20/2025
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