Individual
CARL A NICHOLLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4005 SPICEWOOD SPRINGS RD, B-100, AUSTIN, TX 78759-8666
(512) 343-9415
(512) 343-8939
Mailing address
4005 SPICEWOOD SPRINGS RD, B-100, AUSTIN, TX 78759-8666
(512) 343-9415
(512) 343-8939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24006
TX
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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