| NPI | 1255739439 |
|---|---|
| Other Name | REBECCA S NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 09041390) |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2014-12-20 |