Individual
MRS. LAUREN KELLY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
464 CHEROKEE AVE SE STE 202, ATLANTA, GA 30312-3260
(404) 919-9975
Mailing address
944 GRESS AVE SE, ATLANTA, GA 30312-3719
(713) 907-7087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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