Individual
CAROL SUE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
603 E CHURCH ST, BOONEVILLE, MS 38829-3711
(662) 728-2488
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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