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Individual

DR. CHARLES RICHARD NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2001 MARTIN LUTHER KING JR. DR., SUITE 450-A, ATLANTA, GA 30310
(404) 551-5654
(404) 551-5570
Mailing address
2001 MARTIN LUTHER KING JR. DR., SUITE 450-A, ATLANTA, GA 30310
(404) 551-5654
(404) 551-5570

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
008043
GA

Other

Enumeration date
02/04/2013
Last updated
06/18/2015
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