Individual
JASMINE CIARA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2344 VALLEYDALE RD STE B, HOOVER, AL 35244-2074
(205) 775-7757
Mailing address
239 WATERSTONE CT, MONTEVALLO, AL 35115-5713
(334) 354-2682
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
04993
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
04993
AL
101YM0800X
Mental Health Counselor
04993
AL
101YP2500X
Professional Counselor
Primary
04993
AL
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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