PHILIP RAY NICHOLAS

JACKSON, TN
NPI1568069524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TN  5027)
Enumeration Date2020-10-02
Last Update Date2020-10-02
Business Address
PHILIP RAY NICHOLAS LPC-MHSP
19 WOOD DUCK CV
JACKSON, TN 38305-6632
Phone number: 731-571-7500
Mailing Address
PHILIP RAY NICHOLAS LPC-MHSP
19 WOOD DUCK CV
JACKSON, TN 38305-6632
Phone number: 731-571-7500
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