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Mr. Robert T Nichols, LMHCLADCICADAC
Addiction (Substance Use Disorder) Counselor in Worcester, Massachusetts
NPI 1881700490

Robert T Nichols is an Addiction (Substance Use Disorder) Counselor based in Worcester, MA and is specialized in Addiction (Substance Use Disorder). Robert T Nichols practices in Worcester, MA and has the professional credentials of LMHCLADCICADAC. The NPI Number for Robert T Nichols is 1881700490 and holds a License No. 5622 (Massachusetts).

The current practice location address for Robert T Nichols is 585 Lincoln Street, Worcester, MA and can be reached out via phone at 508-854-3320 and via fax at 508-753-5051.

Location: 585 Lincoln Street, Worcester, MA, 01609-2836
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Provider Profile Details
NPI Number
1881700490
Provider Name
Robert T Nichols
Credential
LMHCLADCICADAC
Provider Entity Type
Individual
Gender
Male
Address
585 Lincoln Street, Worcester, MA, 01609-2836
Phone Number
508-854-3320
Fax Number
508-753-5051
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2220002001 01 MA BCBS SA
1306421 05 MA
1308758 01 MA MCD MH
M18684 01 BCBS MH
institution
Provider Business Practice Location Address Details
Address
585 Lincoln Street
City
State
Zip
01605
Phone Number
508-854-3320
Fax Number
508-753-5051
person
Provider Business Mailing Address Details
Address
585 Lincoln Street
City
State
Zip
01605
Phone Number
508-854-3320
Fax Number
508-753-5051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
21 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5622 (Massachusetts)
Definition
Definition to come...
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