person
Philip Ray Nicholas, LPC-MHSP
Mental Health Counselor in Jackson, Tennessee
NPI 1568069524

Philip Ray Nicholas is a Mental Health Counselor based in Jackson, TN and is specialized in Mental Health. Philip Ray Nicholas practices in Jackson, TN and has the professional credentials of LPC-MHSP. The NPI Number for Philip Ray Nicholas is 1568069524 and holds a License No. 5027 (Tennessee).

The current practice location address for Philip Ray Nicholas is 19 Wood Duck Cv, Jackson, TN and can be reached out via phone at 731-571-7500.

Location: 19 Wood Duck Cv, Jackson, TN, 38305-6632
person
Provider Profile Details
NPI Number
1568069524
Provider Name
Philip Ray Nicholas
Credential
LPC-MHSP
Provider Entity Type
Individual
Gender
Male
Address
19 Wood Duck Cv, Jackson, TN, 38305-6632
Phone Number
731-571-7500
Fax Number
Provider Enumeration Date
10/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19 Wood Duck Cv
City
State
Zip
38305-6632
Phone Number
731-571-7500
Fax Number
person
Provider Business Mailing Address Details
Address
19 Wood Duck Cv
City
State
Zip
38305-6632
Phone Number
731-571-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5027 (Tennessee)
Definition
Definition to come...
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