Provider Demographics
NPI:1508924572
Name:NICHOLS, NANCY C (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:C
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7 HATCH DR
Mailing Address - Street 2:SUITE 290
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-2159
Mailing Address - Country:US
Mailing Address - Phone:207-492-1653
Mailing Address - Fax:207-492-1633
Practice Address - Street 1:7 HATCH DR
Practice Address - Street 2:SUITE 290
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-2159
Practice Address - Country:US
Practice Address - Phone:207-492-1653
Practice Address - Fax:207-492-1633
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MELX2524101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional