Individual
MR. BRENT H NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1421 LEE ST, BRUNSWICK, GA 31520-7132
(912) 262-6080
(912) 261-0593
Mailing address
1421 LEE ST, BRUNSWICK, GA 31520-7132
(912) 262-6080
(912) 261-0593
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1673
GA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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