Individual
JUDY NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 W CHARLESTON BLVD STE 77, LAS VEGAS, NV 89102-1910
(702) 608-5603
Mailing address
5805 W HARMON AVE SPC 261, LAS VEGAS, NV 89103-4871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI0406
NV
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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