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Individual

HEATHER JEAN NICHOLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
19 ELLIOTT AVE, BRYN MAWR, PA 19010-3407
(484) 929-5170
Mailing address
4260 MANAYUNK AVE FL 3, PHILADELPHIA, PA 19128-5032
(484) 929-5170

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC013776
PA

Other

Enumeration date
10/25/2021
Last updated
10/25/2021
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