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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. You can also correspond with Angela Nichols through the mailing address at 209 W JEFFERSON AVE, BASTROP, LA - 71220-4543 (mailing address contact number: 318-239-3890).

Location: 209 W Jefferson Ave, Bastrop, LA, 71220-4543
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
State
Zip
71220-4543
Phone Number
318-239-3890
Fax Number
person
Provider Business Mailing Address Details
Address
209 W Jefferson Ave
City
State
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
License No.
4870 (Louisiana)
Definition
Definition to come...
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