Individual
ASHLEY S NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, MS, NCC
Contact information
Practice address
360 MARKET ST STE 201, WILLIAMSPORT, PA 17701-6332
(337) 515-7726
Mailing address
360 MARKET ST STE 201, WILLIAMSPORT, PA 17701-6332
(337) 515-7726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
PA
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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