Individual
CHAD NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(937) 390-8060
Mailing address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(937) 250-4244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.176504
OH
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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