Individual
NICHOLE A WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3671 N LAUREN LN, BLOOMINGTON, IN 47404-9206
(317) 508-7823
Mailing address
PO BOX 62, ELLETTSVILLE, IN 47429-0062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003462A
IN
Other
Enumeration date
06/07/2022
Last updated
11/27/2024
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