Individual
BETH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15064 ANTIOCH RD, OVERLAND PARK, KS 66221-8502
(913) 735-9291
Mailing address
13153 CARTER ST, OVERLAND PARK, KS 66213-4655
(816) 288-0371
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5105-RT
KS
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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