Individual
MRS. EUGENIE B NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
427 LINDEN AVE, MEMPHIS, TN 38126-2023
(901) 577-0200
Mailing address
9046 POST OAK LN, MEMPHIS, TN 38125-4400
(901) 756-9916
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1073
AL
101YP2500X
Professional Counselor
Primary
1946
TN
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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