Individual
VEDA LAMAR NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
110 YE OLDE KINGS HWY, NORTH MYRTLE BEACH, SC 29582-4384
(843) 663-0770
Mailing address
4010 CHURCH ST, LORIS, SC 29569-2469
(843) 465-6158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7094
SC
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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