Individual
MILES MATTHEW NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
242 E MAIN ST, CHILLICOTHE, OH 45601-3414
(740) 773-3272
(740) 773-3279
Mailing address
242 E MAIN ST, CHILLICOTHE, OH 45601-3414
(740) 773-3272
(740) 773-3279
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS005103
OH
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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