Individual
MR. HAL S. NICHOLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW, LCAC
Contact information
Practice address
11100 ASH STREET, SUITE 100, LEAWOOD, KS 66211
(913) 648-6940
(877) 329-8382
Mailing address
11100 ASH STREET, SUITE 100, LEAWOOD, KS 66211
(913) 648-6940
(877) 329-8382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3793
KS
101YM0800X
Mental Health Counselor
3793
KS
1041C0700X
Clinical Social Worker
Primary
3793
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201128190A
—
KS
Enumeration date
07/01/2008
Last updated
12/10/2019
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