person
Tracy Nichols
Pastoral Counselor in Douglasville, Georgia
NPI 1255724704

Tracy Nichols is a Pastoral Counselor based in Douglasville, GA and is specialized in Pastoral. Tracy Nichols practices in Douglasville, GA. The NPI Number for Tracy Nichols is 1255724704 and holds a License No. 11102014 (Georgia).

The current practice location address for Tracy Nichols is 5300 Brickleberry Way, Douglasville, GA and can be reached out via phone at 678-886-0999. You can also correspond with Tracy Nichols through the mailing address at 5300 BRICKLEBERRY WAY, DOUGLASVILLE, GA - 30134-4066 (mailing address contact number: 678-886-0999).

Location: 5300 Brickleberry Way, Douglasville, GA, 30134-4066
person
Provider Profile Details
NPI Number
1255724704
Provider Name
Tracy Nichols
Credential
Provider Entity Type
Individual
Gender
Male
Address
5300 Brickleberry Way, Douglasville, GA, 30134-4066
Phone Number
678-886-0999
Fax Number
Provider Enumeration Date
03/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5300 Brickleberry Way
City
State
Zip
30134-4066
Phone Number
678-886-0999
Fax Number
person
Provider Business Mailing Address Details
Address
5300 Brickleberry Way
City
State
Zip
30134-4066
Phone Number
678-886-0999
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
11102014 (Georgia)
Definition
Definition to come...
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