Individual
MRS. ELIZABETH MCINTOSH NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
609 S NEW HOPE RD STE 200C, GASTONIA, NC 28054-4870
(704) 208-1865
Mailing address
3306 YARMOUTH LANE, GASTONIA, NC 28056-7876
(864) 219-0632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11512
NC
Other
Enumeration date
04/24/2015
Last updated
11/21/2016
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