JESSICA DIANE NICHOLSON

COLUMBIA, SC
NPI1851686844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: SC  1468)
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2011-06-17
Last Update Date2022-07-21
Business Address
JESSICA DIANE NICHOLSON PH.D.
6439 GARNERS FERRY ROAD
COLUMBIA, SC 29208-4123
Phone number: 803-776-4000
Mailing Address
JESSICA DIANE NICHOLSON PH.D.
1140 KARLANEY AVE
CAYCE, SC 29033-3219
Phone number: 201-206-9839