Individual
WILLIAM DALE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
6812 BANDERA RD STE 102, SAN ANTONIO, TX 78238-1378
(210) 261-3350
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17071
TX
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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