Individual
CHESNIE BLAIR NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
8150 WORNALL RD, KANSAS CITY, MO 64114-5806
(816) 508-3500
Mailing address
6725 W 52ND PL APT 3B, MISSION, KS 66202-1520
(865) 223-2339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022047001
MO
101YP2500X
Professional Counselor
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022047001
PLPC STATE LICENSE
MO
Enumeration date
12/09/2022
Last updated
12/09/2022
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