Individual
MR. TODD NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0176261
NM
101YP2500X
Professional Counselor
Primary
CCMH0221261
NM
Other
Enumeration date
01/08/2015
Last updated
03/15/2022
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