Individual
CARRIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
661 JUSTIN RD, ROCKWALL, TX 75087-4821
(469) 964-0027
Mailing address
2931 RIDGE RD, STE. 101, PMB 132, ROCKWALL, TX 75032-6670
(469) 964-0027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65927
TX
Other
Enumeration date
12/04/2006
Last updated
01/12/2010
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