person
Mr. Mark Nichols, MA,LPC
Mental Health Counselor in Newport News, Virginia
NPI 1275879785

Mark Nichols is a Mental Health Counselor based in Newport News, VA and is specialized in Mental Health. Mark Nichols practices in Newport News, VA and has the professional credentials of MA,LPC. The NPI Number for Mark Nichols is 1275879785 and holds a License No. 0701006460 (Virginia).

The current practice location address for Mark Nichols is 727 J Clyde Morris Blvd Ste A, Newport News, VA and can be reached out via phone at 757-595-3455 and via fax at 757-595-3456.

Location: 727 J Clyde Morris Blvd Ste A, Newport News, VA, 23601-1507
person
Provider Profile Details
NPI Number
1275879785
Provider Name
Mark Nichols
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
727 J Clyde Morris Blvd Ste A, Newport News, VA, 23601-1507
Phone Number
757-595-3455
Fax Number
757-595-3456
Provider Enumeration Date
01/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0701006460 01 VA LPC LICENSE #
institution
Provider Business Practice Location Address Details
Address
727 J Clyde Morris Blvd Ste A
City
State
Zip
23601-1507
Phone Number
757-595-3455
Fax Number
757-595-3456
person
Provider Business Mailing Address Details
Address
727 J Clyde Morris Blvd Ste A
City
State
Zip
23601-1507
Phone Number
757-595-3455
Fax Number
757-595-3456
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701006460 (Virginia)
Definition
Definition to come...
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