Individual
KURTIS P NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5000 W 95TH ST STE 285, PRAIRIE VILLAGE, KS 66207-3363
(913) 933-0451
Mailing address
5000 W 95TH ST STE 285, PRAIRIE VILLAGE, KS 66207-3363
(913) 933-0451
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3472
KS
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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