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Daryl Nichols
Mental Health Counselor in Ketchikan, Alaska
NPI 1205592607

Daryl Nichols is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Daryl Nichols practices in Ketchikan, AK. The NPI Number for Daryl Nichols is 1205592607 and holds a License No. (Alaska).

The current practice location address for Daryl Nichols is 2514 First Ave, Ketchikan, AK and can be reached out via phone at 907-202-8684.

Location: 2514 First Ave, Ketchikan, AK, 99901-2475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205592607
Provider Name
Daryl Nichols
Credential
Provider Entity Type
Individual
Gender
Male
Address
2514 First Ave, Ketchikan, AK, 99901-2475
Phone Number
907-202-8684
Fax Number
Provider Enumeration Date
11/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1713721 05 AK
institution
Provider Business Practice Location Address Details
Address
2514 First Ave
City
Ketchikan
State
Alaska
Zip
99901-5804
Phone Number
907-202-8684
Fax Number
person
Provider Business Mailing Address Details
Address
2514 First Ave
City
Ketchikan
State
Alaska
Zip
99901-5804
Phone Number
907-202-8684
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Alaska)
Definition
Definition to come...
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