Individual
MS. GAIL JEAN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1020 SW TAYLOR ST, SUITE #550, PORTLAND, OR 97205-2543
(503) 227-4250
Mailing address
1020 SW TAYLOR ST, SUITE #550, PORTLAND, OR 97205-2543
(503) 227-4250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C 1930
OR
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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