Individual
JUSTINE NICOLE NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(888) 736-3229
(304) 872-5415
Mailing address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(888) 736-3229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00946467
WV
Other
Enumeration date
02/09/2023
Last updated
10/15/2025
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