Individual
MS. LAURA LYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-R
Contact information
Practice address
13817 VILLAGE MILL DR STE R, MIDLOTHIAN, VA 23114-4378
(804) 537-2024
Mailing address
3805 WILD GOOSE WALK, GLEN ALLEN, VA 23060-6014
(757) 880-2909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704011729
VA
Other
Enumeration date
08/28/2021
Last updated
08/28/2021
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