Individual
MRS. JILL MICHELLE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, MA, BS
Contact information
Practice address
1536 SUNRISE PLAZA DR STE 100, CLERMONT, FL 34714-6204
(407) 488-4892
(863) 582-9993
Mailing address
1109 CYPRESS POINTE BLVD, DAVENPORT, FL 33896-3503
(402) 227-5095
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT5308
FL
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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