Theron Robert Nicholson, LMHC | |
2025 E Aztec Ave, Gallup, NM 87301-4803 | |
(505) 863-3828 | |
(505) 443-8345 |
Full Name | Theron Robert Nicholson |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2025 E Aztec Ave, Gallup, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124498423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CTB-2025-0065 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Theron Robert Nicholson, LMHC 5305 Mcnutt Rd, Santa Teresa, NM 88008-8937 Ph: (575) 882-5100 | Theron Robert Nicholson, LMHC 2025 E Aztec Ave, Gallup, NM 87301-4803 Ph: (505) 863-3828 |
Tammy Tsosie, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 | |
Ms. Elouise Blackgoat, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Nizhoni Blvd Ste A, Gallup, NM 87301 Phone: 505-722-9470 Fax: 505-722-9570 | |
Ms. Vera D John, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Nizhoni Blvd, Suite A, Gallup, NM 87301 Phone: 505-722-9470 Fax: 505-722-9570 | |
Dr. Audni Genevieve Miller, PH. D. LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 S Puerco Dr, Gallup, NM 87301 Phone: 505-863-3828 | |
Linda C. Kerth, PH.D., M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 S 1st St, Connections, Inc. Attn Linda Kerth, Gallup, NM 87301 Phone: 505-862-7080 Fax: 505-722-9870 | |
Ms. Kristin M Himmler, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2025 E Aztec, Gallup, NM 87301 Phone: 484-888-5964 |