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1740890847
CHRIS NICELY
TAMPA, FL
NPI
1740890847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH17615)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
CHRIS NICELY
825 W LINEBAUGH AVE
TAMPA, FL 33612-7855
Phone number: 813-421-7158
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Mailing Address
CHRIS NICELY
18303 BIG POND WAY
TAMPA, FL 33647-2432
Phone number:
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