Individual
BROOKE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10336 ROSEHILL RD, OVERLAND PARK, KS 66215-2290
(913) 593-8989
Mailing address
10336 ROSEHILL RD, OVERLAND PARK, KS 66215-2290
(913) 593-8989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
341
KS
101YP2500X
Professional Counselor
Primary
2006000743
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487868477
—
MO
Enumeration date
05/09/2007
Last updated
07/17/2009
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