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Individual

MR. JON ERIC NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A. LPC

Contact information

Practice address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(303) 900-7279
Mailing address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(303) 900-7279

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0002580
CO

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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