Individual
MR. NICHOLAS ANTONIO INCLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4205 SPRINGHURST BLVD STE 202, LOUISVILLE, KY 40241-6160
(502) 618-2060
Mailing address
11896 TROTTINGHAM CIR, LOUISVILLE, KY 40299-4594
(502) 457-8298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
275595
KY
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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