Individual
DAVID NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.COUN., LPC, NCC
Contact information
Practice address
100 MAIN STREET, SUITE 203, BOISE, ID 83702
(208) 918-6466
Mailing address
100 MAIN STREET, SUITE 203, BOISE, ID 83702
(208) 918-6466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5048
ID
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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