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1437996956
LESA NICHOLES
SALEM, OR
NPI
1437996956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 95198)
Enumeration Date
2024-07-11
Last Update Date
2024-08-09
Business Address
LESA NICHOLES
2355 STATE ST STE 101
SALEM, OR 97301-4541
Phone number: 832-451-9651
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Mailing Address
LESA NICHOLES
5614 W GRAND PKWY S STE 102
RICHMOND, TX 77406-5820
Phone number: 832-451-9651
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