Individual
MRS. GLORIA NADINE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., LCDC III
Contact information
Practice address
302 W MAIN ST, FAIRBORN, OH 45324-5037
(937) 281-4673
(937) 318-1120
Mailing address
3103 DIXIE HWY, HAMILTON, OH 45015-1653
(513) 892-4673
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162320
OH
Other
Enumeration date
07/27/2018
Last updated
06/21/2024
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