Individual
CANDACE RAE JEFFRIES NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 775-5513
Mailing address
1108 N WHEELER AVE, SALLISAW, OK 74955
(918) 775-5513
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4595
OK
Other
Enumeration date
10/05/2007
Last updated
11/09/2015
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