person
Jae Nicholson
Professional Counselor in Bryan, Texas
NPI 1619620176

Jae Nicholson is a Professional Counselor based in Bryan, TX and is specialized in Professional. Jae Nicholson practices in Bryan, TX. The NPI Number for Jae Nicholson is 1619620176 and holds a License No. 76655 (Texas).

The current practice location address for Jae Nicholson is 2490 Boonville Rd, Bryan, TX and can be reached out via phone at 979-703-1808.

Location: 2490 Boonville Rd, Bryan, TX, 77808-2326
person
Provider Profile Details
NPI Number
1619620176
Provider Name
Jae Nicholson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2490 Boonville Rd, Bryan, TX, 77808-2326
Phone Number
979-703-1808
Fax Number
Provider Enumeration Date
02/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2490 Boonville Rd
City
State
Zip
77808-2326
Phone Number
979-703-1808
Fax Number
person
Provider Business Mailing Address Details
Address
2490 Boonville Rd
City
State
Zip
77808-2326
Phone Number
979-703-1808
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
76655 ()
Definition
Definition to come...
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