Individual
DR. DARLENE ALLEN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC, PHD
Contact information
Practice address
11848 S WESTERN AVE, CHICAGO, IL 60643-4734
(773) 366-3437
Mailing address
11848 S WESTERN AVE, CHICAGO, IL 60643-4734
(773) 366-3437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178019560
IL
101YM0800X
Mental Health Counselor
Primary
180017416
IL
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
06/01/2022
Last updated
01/15/2026
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