Individual
MRS. KATHRYN LYNN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 PORTLAND RD NE, STE 120, SALEM, OR 97301-0198
(503) 390-5637
(503) 393-3135
Mailing address
2645 PORTLAND RD NE, STE 120, SALEM, OR 97301-0198
(503) 390-5637
(503) 393-3135
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0943
OR
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/07/2010
Last updated
04/25/2023
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