TARA ELIZABETH NICHOLS

DOUGLASVILLE, GA
NPI1225623556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC012024)
Enumeration Date2021-03-08
Last Update Date2021-03-08
Business Address
TARA ELIZABETH NICHOLS MHC, LPC
6130 PRESTLEY MILL RD STE A
DOUGLASVILLE, GA 30134-2288
Phone number: 770-949-9675
Mailing Address
TARA ELIZABETH NICHOLS MHC, LPC
3050 AUTUMN WOODS CT
DOUGLASVILLE, GA 30135-7342
Phone number: 678-634-8989
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