Individual
MR. CLINTON E NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1259 LAKE PLAZA DR STE 200, COLORADO SPRINGS, CO 80906-3516
(719) 622-6522
(719) 622-6520
Mailing address
1840 WOODMOOR DR STE 102, MONUMENT, CO 80132-9083
(719) 622-6522
(719) 622-6520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0001759
—
101YP2500X
Professional Counselor
Primary
0016143
CO
Other
Enumeration date
07/02/2018
Last updated
06/04/2025
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