| Jodi Nicholson, Phd, Lpc-s, Pllc | |
|
212 N Tarrant St Ste 101 Crowley TX 76036-2593 | |
| (682) 463-1012 | |
| Not Available |
| Full Name | Jodi Nicholson, Phd, Lpc-s, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 212 N Tarrant St Ste 101, Crowley, Texas |
| Authorized Official Name and Position | Jodi Nicholson (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6824631012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Nicholson, Phd, Lpc-s, Pllc 212 N Tarrant St Ste 101 Crowley TX 76036-2593 Ph: (682) 463-1012 | Jodi Nicholson, Phd, Lpc-s, Pllc 212 N Tarrant St Ste 101 Crowley TX 76036-2593 Ph: (682) 463-1012 |
| NPI Number | 1174288781 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174288781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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