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1184402463
JAMES NICKELSEN
LEAVENWORTH, KS
NPI
1184402463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KS 03434-T)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
JAMES NICKELSEN LMFT
205 S 5TH ST UNIT 13
LEAVENWORTH, KS 66048-2602
Phone number: 913-271-7099
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Mailing Address
JAMES NICKELSEN LMFT
420 S ESPLANADE ST APT F404
LEAVENWORTH, KS 66048-1522
Phone number: 913-915-1183
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