Individual
KASEY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
13334 CLARKSVILLE PIKE BLDG C, SUITE B, HIGHLAND, MD 20777
(410) 541-6612
Mailing address
13334 CLARKSVILLE PIKE, BLDG C, SUITE B, HIGHLAND, MD 20777
(301) 570-4050
(301) 570-7515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP9102
MD
101YM0800X
Mental Health Counselor
Primary
LC11955
MD
Other
Enumeration date
01/11/2019
Last updated
04/01/2026
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