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Mark Thomas Nickels
Mental Health Counselor in Ware, Massachusetts
NPI 1124429840

Mark Thomas Nickels is a Mental Health Counselor based in Ware, MA and is specialized in Mental Health. Mark Thomas Nickels practices in Ware, MA. The NPI Number for Mark Thomas Nickels is 1124429840 and holds a License No. 11077 (Massachusetts).

The current practice location address for Mark Thomas Nickels is 96 South St, Ware, MA and can be reached out via phone at 413-967-6241.

Location: 96 South St, Ware, MA, 01082-1616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124429840
Provider Name
Mark Thomas Nickels
Credential
Provider Entity Type
Individual
Gender
Male
Address
96 South St, Ware, MA, 01082-1616
Phone Number
413-967-6241
Fax Number
Provider Enumeration Date
09/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1300881 05 MA
institution
Provider Business Practice Location Address Details
Address
96 South St
City
Ware
State
Massachusetts
Zip
01082-1616
Phone Number
413-967-6241
Fax Number
person
Provider Business Mailing Address Details
Address
96 South St
City
Ware
State
Massachusetts
Zip
01082-1616
Phone Number
413-967-6241
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
11077 (Massachusetts)
Definition
Definition to come...
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