KRISTEN NICHOLS

DIXON, IL
NPI1043529886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  25265)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2010-09-28
Last Update Date2014-03-20
Business Address
-- KRISTEN NICHOLS MS, QMHP, CADC
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
Mailing Address
-- KRISTEN NICHOLS MS, QMHP, CADC
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-284-6611