Individual
CELESTE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
(479) 542-5847
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650
(479) 452-5847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1810154
AR
101YP2500X
Professional Counselor
Primary
P2012111
AR
Other
Enumeration date
11/06/2018
Last updated
12/17/2020
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