Individual
ANTOINE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
355 CRAWFORD ST STE 816, PORTSMOUTH, VA 23704-2825
(757) 966-1711
(757) 432-2971
Mailing address
2110 LYNDORA RD, VIRGINIA BEACH, VA 23464-8620
(757) 641-8444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007726
VA
Other
Enumeration date
07/30/2018
Last updated
01/18/2024
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