Organization
CZG INC.
Active
Other names
CK Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
CANDANCE LEA NICHOLS LIMHP LMHP LPC LADC (OWNER & THERAPIST)
(308) 991-3123
Entity
Organization
Contact information
Practice address
417 EAST AVE, HOLDREGE, NE 68949-2216
(308) 991-3123
(308) 455-6242
Mailing address
PO BOX 1074, HOLDREGE, NE 68949-4074
(308) 991-3123
(308) 455-6242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4230
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
982
NE
101YM0800X
Mental Health Counselor
1117
NE
101YP2500X
Professional Counselor
Primary
2069
NE
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578908133
OTHER
NE
Enumeration date
08/03/2015
Last updated
04/26/2023
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