Individual
NICHOLES ANTONIO COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8601
Mailing address
812 CREEK STONE DR, CLARKSVILLE, TN 37040-6028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14276832-3501
UT
171M00000X
Case Manager/Care Coordinator
Primary
089550459
TN
Other
Enumeration date
01/18/2011
Last updated
03/18/2026
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