Individual
CHANTEL MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 4TH ST, BAKER CITY, OR 97814-2615
(541) 523-3646
(541) 523-7602
Mailing address
2100 MAIN ST, BAKER CITY, OR 97814-2655
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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