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Nickolas Black
Professional Counselor in Conway, Arkansas
NPI 1801345921

Nickolas Black is a Professional Counselor based in Conway, AR and is specialized in Professional. Nickolas Black practices in Conway, AR. The NPI Number for Nickolas Black is 1801345921 and holds a License No. (Arkansas).

The current practice location address for Nickolas Black is 1022 Main St, Conway, AR and can be reached out via phone at 501-609-0400.

Location: 1022 Main St, Conway, AR, 72032-5426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801345921
Provider Name
Nickolas Black
Credential
Provider Entity Type
Individual
Gender
Male
Address
1022 Main St, Conway, AR, 72032-5426
Phone Number
501-609-0400
Fax Number
Provider Enumeration Date
09/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1022 Main St
City
Conway
State
Arkansas
Zip
72032-5426
Phone Number
501-609-0400
Fax Number
person
Provider Business Mailing Address Details
Address
1022 Main St
City
Conway
State
Arkansas
Zip
72032-5426
Phone Number
501-609-0400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
P2108000 (Arkansas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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