Individual
LEAH NICCOLLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 COUNTY ROAD 417A, CLEBURNE, TX 76031-8787
(972) 998-5831
Mailing address
3200 COUNTY ROAD 417A, CLEBURNE, TX 76031-8787
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
02/15/2024
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