Individual
CASSIDY HEATHER NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA, QMHS
Contact information
Practice address
3130 DRESDEN ST, COLUMBUS, OH 43224-4268
(614) 822-8090
Mailing address
3130 DRESDEN ST, COLUMBUS, OH 43224-4268
(614) 822-8090
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
376K00000X
Nurse's Aide
400426531104
OH
Other
Enumeration date
03/17/2010
Last updated
10/08/2019
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