person
Theron Robert Nicholson, LMHC
Mental Health Counselor in Gallup, New Mexico
NPI 1124498423

Theron Robert Nicholson is a Mental Health Counselor based in Santa Teresa, NM and is specialized in Mental Health. Theron Robert Nicholson practices in Gallup, NM and has the professional credentials of LMHC. The NPI Number for Theron Robert Nicholson is 1124498423 and holds a License No. CTB-2025-0065 (New Mexico).

The current practice location address for Theron Robert Nicholson is 2025 E Aztec Ave, Gallup, NM and can be reached out via phone at 505-863-3828 and via fax at 505-443-8345.

Location: 2025 E Aztec Ave, Gallup, NM, 88008-8937
person
Provider Profile Details
NPI Number
1124498423
Provider Name
Theron Robert Nicholson
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
2025 E Aztec Ave, Gallup, NM, 88008-8937
Phone Number
505-863-3828
Fax Number
505-443-8345
Provider Enumeration Date
09/29/2015
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
2025 E Aztec Ave
City
State
Zip
87301-4803
Phone Number
505-863-3828
Fax Number
505-443-8345
person
Provider Business Mailing Address Details
Address
2025 E Aztec Ave
City
State
Zip
87301-4803
Phone Number
505-863-3828
Fax Number
505-443-8345
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CTB-2025-0065 (New Mexico)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.