Individual
SHANIQUE NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9327 MIDLOTHIAN TPKE STE 1D, NORTH CHESTERFIELD, VA 23235-4965
(528) 308-0186
Mailing address
805 KINGS PASSAGE DR APT 2C, HENRICO, VA 23238-6085
(804) 938-7429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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