Individual
CAROLYN J. NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1736 E SUNSHINE ST, PLAZA TOWERS-SUITE 508, SPRINGFIELD, MO 65804-1343
(417) 766-5432
Mailing address
4715 E BITTERSWEET WAY, SPRINGFIELD, MO 65809-2403
(417) 887-7803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002622
MO
Other
Enumeration date
01/05/2007
Last updated
07/09/2007
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