Mark Thomas Nickels

NPI #1124429840 in Ware, Massachusetts

Provider Information

NPI Number: 1124429840
Entity Type: Individual
Name: Mark Thomas Nickels
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 12, 2014
Last Updated: Dec 11, 2023

Practice Location

Address: 96 SOUTH ST
Address 2: WARE
City: Ware
State: Massachusetts
ZIP Code: 01082-1616
Phone: (413) 967-6241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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