Individual
LINDA MAE NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC/LADC
Contact information
Practice address
11 BACK RD, PLEASANT POINT, ME 04667-4119
(207) 853-0644
(207) 853-2347
Mailing address
PO BOX 351, PERRY, ME 04667-0351
(207) 853-0644
(207) 853-2347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC3080
ME
101YP2500X
Professional Counselor
Primary
CC1748
ME
Other
Enumeration date
03/24/2009
Last updated
12/19/2023
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