Individual
MARY MARIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-CANDIDATE
Contact information
Practice address
15128 TRADITIONS BLVD STE A, EDMOND, OK 73013-1220
(405) 474-5359
Mailing address
PO BOX 282, LUTHER, OK 73054-0282
(405) 439-4067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCCANDIDATE13196
OK
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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