THERON ROBERT NICHOLSON

SUNLAND PARK, NM
NPI1124498423
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0175751)
Enumeration Date2015-09-29
Last Update Date2016-01-19
Business Address
-- THERON ROBERT NICHOLSON LMHC
3465 MCNUTT RD
SUNLAND PARK, NM 88063-9056
Phone number: 575-915-1338
Mailing Address
-- THERON ROBERT NICHOLSON LMHC
5305 MCNUTT RD
SANTA TERESA, NM 88008-8937
Phone number: 575-882-5100
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