Provider Demographics
NPI:1437291382
Name:NICHOLS, MARGARET MARY (MA)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARY
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16125 JUANITA WOODINVILLE WAY NE
Mailing Address - Street 2:UNIT 1806
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-6489
Mailing Address - Country:US
Mailing Address - Phone:425-487-9805
Mailing Address - Fax:
Practice Address - Street 1:16125 JUANITA WOODINVILLE WAY NE
Practice Address - Street 2:UNIT 1806
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-6489
Practice Address - Country:US
Practice Address - Phone:425-487-9805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005356101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health