Individual
MRS. AMY PEARSON NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1020 E OGDEN AVE, NAPERVILLE, IL 60563-8609
(847) 942-2512
Mailing address
8421 SHAGBARK CT, WOODRIDGE, IL 60517-4514
(630) 776-5337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180006246
IL
101YM0800X
Mental Health Counselor
180006246
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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