Individual
MS. STACY A. NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1010 N MAIN ST, WICHITA, KS 67203-3625
(316) 269-2534
(316) 262-8882
Mailing address
1010 N MAIN ST, P.O. BOX 47563, WICHITA, KS 67203-3625
(316) 269-2534
(316) 262-8882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
957
KS
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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