Individual
ANTHONY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LCPC
Contact information
Practice address
1810 WOODFIELD DR STE 201, SAVOY, IL 61874-9377
(217) 417-1701
Mailing address
1810 WOODFIELD DR STE 201, SAVOY, IL 61874-9377
(217) 417-1701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180011713
IL
101YM0800X
Mental Health Counselor
Primary
180011713
IL
101YP2500X
Professional Counselor
180011713
IL
Other
Enumeration date
03/31/2016
Last updated
01/26/2019
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