Individual
STACEY DANIELLE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
16500 INDIAN CREEK PKWY, OLATHE, KS 66062-1429
(937) 418-6280
Mailing address
16500 INDIAN CREEK PKWY, OLATHE, KS 66062-1429
(937) 418-6280
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03163
KS
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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