Individual
CALLY ELIZABETH NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
2101 W LOOP 281, LONGVIEW, TX 75604-2506
(903) 315-2620
(903) 315-3513
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-4119
(903) 315-4130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
66250
TX
Other
Enumeration date
02/01/2013
Last updated
06/02/2015
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