Individual
MRS. COURTNEY M NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12451 HWY 1806, MOBRIDGE, SD 57601
(605) 845-7181
(605) 845-5072
Mailing address
PO BOX 680, MOBRIDGE, SD 57601-0680
(605) 845-7181
(605) 845-5072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12340
TX
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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