Individual
MINDY JANE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCAC, LCMFT
Contact information
Practice address
134 S SANTA FE AVE, SUITE 130, SALINA, KS 67401-2877
(785) 823-7400
(785) 823-7400
Mailing address
134 S SANTA FE AVE, SUITE 130, SALINA, KS 67401-2877
(785) 823-7400
(785) 823-7400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
403
KS
106H00000X
Marriage & Family Therapist
Primary
854
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200630800A
—
KS
Enumeration date
10/27/2009
Last updated
07/12/2016
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