Individual
ASHLEA MICHELLE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMAC, LMFT
Contact information
Practice address
4208 E CENTRAL AVE, WICHITA, KS 67208-3822
(316) 285-0015
Mailing address
4208 E CENTRAL AVE, WICHITA, KS 67208-3822
(316) 285-0015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
704
KS
106H00000X
Marriage & Family Therapist
Primary
2641
KS
Other
Enumeration date
03/15/2012
Last updated
02/11/2025
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