person
Theron Robert Nicholson, LMHC
Mental Health Counselor in Sunland Park, 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 Sunland Park, NM and has the professional credentials of LMHC. The NPI Number for Theron Robert Nicholson is 1124498423 and holds a License No. 0175751 (New Mexico).

The current practice location address for Theron Robert Nicholson is 3465 Mcnutt Rd, Sunland Park, NM and can be reached out via phone at 575-915-1338 and via fax at 575-915-1819.

Location: 3465 Mcnutt Rd, Sunland Park, NM, 88008-8937
person
Provider Profile Details
NPI Number
1124498423
Provider Name
Theron Robert Nicholson
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
3465 Mcnutt Rd, Sunland Park, NM, 88008-8937
Phone Number
575-915-1338
Fax Number
575-915-1819
Provider Enumeration Date
09/29/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64153274 05 NM
institution
Provider Business Practice Location Address Details
Address
3465 Mcnutt Rd
City
State
Zip
88063-9056
Phone Number
575-915-1338
Fax Number
575-915-1819
person
Provider Business Mailing Address Details
Address
3465 Mcnutt Rd
City
State
Zip
88063-9056
Phone Number
575-915-1338
Fax Number
575-915-1819
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0175751 (New Mexico)
Definition
Definition to come...
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