THERON ROBERT NICHOLSON

GALLUP, NM
NPI1124498423
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NM  CTB-2025-0065)
Enumeration Date2015-09-29
Last Update Date2025-02-05
Business Address
THERON ROBERT NICHOLSON LMHC
2025 E AZTEC AVE
GALLUP, NM 87301-4803
Phone number: 505-863-3828
Mailing Address
THERON ROBERT NICHOLSON LMHC
5305 MCNUTT RD
SANTA TERESA, NM 88008-8937
Phone number: 575-882-5100