Mark Nickerson, LICSW
NPI #1336159615 in Amherst, Massachusetts
Provider Information
- NPI Number
- 1336159615
- Entity Type
- Individual
- Name
- Mark Nickerson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LICSW
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 441 WEST ST
- City
- Amherst
- State
- Massachusetts
- ZIP Code
- 01002-2997
- Phone
- (413) 256-0550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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