Individual
GINA GINETTE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1712 HIGHWAY 121 BYP N STE I, MURRAY, KY 42071-8864
(270) 761-5804
(270) 761-5807
Mailing address
1712 HIGHWAY 121 BYP N STE I, MURRAY, KY 42071-8864
(270) 761-5804
(270) 761-5807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103574
KY
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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