Provider Demographics
NPI:1255688438
Name:NICHOLS, HELEN L
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:L
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1736 RIVER BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-3153
Mailing Address - Country:US
Mailing Address - Phone:408-604-0116
Mailing Address - Fax:
Practice Address - Street 1:1736 RIVER BIRCH DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-3153
Practice Address - Country:US
Practice Address - Phone:408-604-0116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health