Individual
MEGAN S NICKLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
205 N COLLEGE AVE STE 613, BLOOMINGTON, IN 47404-3956
(812) 297-9750
Mailing address
205 N COLLEGE AVE STE 613, BLOOMINGTON, IN 47404-3956
(812) 297-9750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/23/2013
Last updated
02/24/2019
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