Individual
MRS. CANDANCE LEA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LPC, LADC
Contact information
Practice address
417 EAST AVE, HOLDREGE, NE 68949-2216
(308) 991-3123
(308) 455-6242
Mailing address
PO BOX 1074, HOLDREGE, NE 68949-4074
(308) 991-3123
(308) 455-6242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1117
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
982
NE
101YM0800X
Mental Health Counselor
Primary
4230
NE
101YP2500X
Professional Counselor
2069
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578908133
BRIGHT
NE
Enumeration date
05/08/2013
Last updated
04/26/2023
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