person
Carrie A Nickles, LPC
Mental Health Counselor in Prairie Grove, Arkansas
NPI 1083879167

Carrie A Nickles is a Mental Health Counselor based in Fayetteville, AR and is specialized in Mental Health. Carrie A Nickles practices in Prairie Grove, AR and has the professional credentials of LPC. The NPI Number for Carrie A Nickles is 1083879167 and holds a License No. P1108056 (Arkansas).

The current practice location address for Carrie A Nickles is 801 Viney Grove Rd, Prairie Grove, AR and can be reached out via phone at 303-905-9025 and via fax at 479-358-1493.

Location: 801 Viney Grove Rd, Prairie Grove, AR, 72704-6237
person
Provider Profile Details
NPI Number
1083879167
Provider Name
Carrie A Nickles
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
801 Viney Grove Rd, Prairie Grove, AR, 72704-6237
Phone Number
303-905-9025
Fax Number
479-358-1493
Provider Enumeration Date
07/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227848719 05 AR
institution
Provider Business Practice Location Address Details
Address
801 Viney Grove Rd
City
State
Zip
72753-2623
Phone Number
303-905-9025
Fax Number
479-358-1493
person
Provider Business Mailing Address Details
Address
801 Viney Grove Rd
City
State
Zip
72753-2623
Phone Number
303-905-9025
Fax Number
479-358-1493
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P1108056 (Arkansas)
Definition
Definition to come...
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