Individual
GARY W NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV
Contact information
Practice address
5150 E STOP 11 RD STE 10, INDIANAPOLIS, IN 46237-8629
(317) 881-0409
(317) 881-6450
Mailing address
5150 E STOP 11 RD STE 10, INDIANAPOLIS, IN 46237-8629
(317) 881-0409
(317) 881-6450
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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