Individual
ALEX ANNE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
1401 SANDIA PLZ, BRYAN, TX 77802-4356
(325) 660-4429
Mailing address
PO BOX 343, TUSCOLA, TX 79562-0343
(325) 660-4429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
78734
TX
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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