Female

Nicole L. Nichols LMHC

Mental Health Counselor in Starke, FL(View on Map)

Full Name

Nicole Latrece Nichols LMHC

NPI Number

1548564883

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/30/2010

Specialties

(Taxonomies)

Code

101YM0800X
101Y00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

4300 SW 13TH ST
945 GRAND ST

City

Gainesville
Starke

State

FL
FL

Postal Code

32608-4006
32091-1821

Country

US
US

Telephone Number

(352) 374-5600
(352) 374-5600

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/14/2015

Provider Address

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