Individual
MELISSA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
9825 EASTRIDGE DR, EL PASO, TX 79925-6817
(915) 595-1067
Mailing address
9825 EASTRIDGE DR, EL PASO, TX 79925-6817
(915) 595-1067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3971
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6517
TX
106H00000X
Marriage & Family Therapist
2641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5013LC
BXBS
TX
Enumeration date
09/27/2006
Last updated
09/11/2025
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