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Angela Nichols
Mental Health Counselor in Bastrop, Louisiana
NPI 1225445059

Angela Nichols is a Mental Health Counselor based in Bastrop, LA and is specialized in Mental Health. Angela Nichols practices in Bastrop, LA. The NPI Number for Angela Nichols is 1225445059 and holds a License No. 4870 (Louisiana).

The current practice location address for Angela Nichols is 209 W Jefferson Ave, Bastrop, LA and can be reached out via phone at 318-239-3890.

Location: 209 W Jefferson Ave, Bastrop, LA, 71220-4543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225445059
Provider Name
Angela Nichols
Credential
Provider Entity Type
Individual
Gender
Female
Address
209 W Jefferson Ave, Bastrop, LA, 71220-4543
Phone Number
318-239-3890
Fax Number
Provider Enumeration Date
07/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600944278 05 LA
institution
Provider Business Practice Location Address Details
Address
209 W Jefferson Ave
City
Bastrop
State
Louisiana
Zip
71220-4543
Phone Number
318-239-3890
Fax Number
person
Provider Business Mailing Address Details
Address
209 W Jefferson Ave
City
Bastrop
State
Louisiana
Zip
71220-4543
Phone Number
318-239-3890
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
4870 (Louisiana)
Definition
Definition to come...
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