KIRK LELAND NICKISON

PORTSMOUTH, OH
NPI1467949875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-04-20
Last Update Date2018-04-20
Business Address
Mr. KIRK LELAND NICKISON QBHS
303 OFFNERE ST
PORTSMOUTH, OH 45662-4655
Phone number: 740-876-9369
Mailing Address
Mr. KIRK LELAND NICKISON QBHS
303 OFFNERE ST
PORTSMOUTH, OH 45662-4655
Phone number: 740-876-9369
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