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Individual

JESSICA N NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, RPT

Contact information

Practice address
115 ATRIUM WAY STE 221, COLUMBIA, SC 29223-6383
(839) 746-6262
Mailing address
106 GRANTHAM CT, SUMMERVILLE, SC 29485-5137
(798) 413-3014
(803) 574-2039

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7360
SC

Other

Enumeration date
06/20/2014
Last updated
11/12/2024
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