Individual
MRS. KIM NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFTA
Contact information
Practice address
5315 HIGHGATE DR STE 102, DURHAM, NC 27713-6623
(919) 418-1718
Mailing address
5378 JESSIP ST, MORRISVILLE, NC 27560-7502
(919) 765-0168
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12133A
NC
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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