Individual
ANGEL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
120 S 24TH ST, STE 230, OMAHA, NE 68102-1202
(402) 978-5656
(402) 591-5075
Mailing address
120 E 12TH ST, NORTH PLATTE, NE 69101-2365
(308) 532-0587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7960
NE
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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