Jodi Nicholson, Phd, Lpc-S, Pllc

NPI #1174288781 in Crowley, Texas

Provider Information

NPI Number: 1174288781
Entity Type: Organization
Organization Name: Jodi Nicholson, Phd, Lpc-S, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 8, 2021
Last Updated: Dec 1, 2021

Practice Location

Address: 212 N TARRANT ST STE 101
City: Crowley
State: Texas
ZIP Code: 76036-2593
Phone: (682) 463-1012

Authorized Official

Name: JODI NICHOLSON, PHD, LPC-S
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (682) 463-1012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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