Individual
MARION NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 E THOMAS ST, HAMMOND, LA 70401-3316
(985) 956-7823
Mailing address
506 S MYRTLE ST, AMITE, LA 70422-3326
(985) 517-7415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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