Kristen Nichols, MS, QMHP, CADC

NPI #1043529886 in Dixon, Illinois

Provider Information

NPI Number
1043529886
Entity Type
Individual
Name
Kristen Nichols, MS, QMHP, CADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
MS, QMHP, CADC
Enumeration Date
Sep 28, 2010
Last Updated
Mar 20, 2014

Practice Location

Address
325 IL ROUTE 2
City
Dixon
ZIP Code
61021-9118
Phone
(815) 284-6611

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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