Individual
CARA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6819 167TH ST, TINLEY PARK, IL 60477-2501
(708) 220-1293
Mailing address
6819 167TH ST, TINLEY PARK, IL 60477-2501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178012987
IL
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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