Individual
CASEY NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMIN, LCPT
Contact information
Practice address
1020 TUSCULUM BLVD, GREENEVILLE, TN 37745-4052
(423) 525-9235
Mailing address
1020 TUSCULUM BLVD, GREENEVILLE, TN 37745-4052
(423) 525-9235
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
76
TN
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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