Individual
MISS CLAIRE THERESE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC-INTERN
Contact information
Practice address
1569 SW NANCY WAY, BEND, OR 97702-3234
(541) 617-0377
Mailing address
1622 NW STEIDL RD, BEND, OR 97703-1855
(541) 410-7110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R5425
OR
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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