Individual
GRACE E. NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
3560 DELAWARE ST, SUITE 104, BEAUMONT, TX 77706-3067
(409) 899-4600
(409) 899-4606
Mailing address
3560 DELAWARE ST, SUITE 104, BEAUMONT, TX 77706-3067
(409) 899-4600
(409) 899-4606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
63291
TX
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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