MS. Carol Stevens Nicholl, LMT

NPI #1346278132 in Salem, Oregon

Provider Information

NPI Number: 1346278132
Entity Type: Individual
Name: MS. Carol Stevens Nicholl, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LMT
Enumeration Date: Jun 29, 2006
Last Updated: Oct 14, 2009

Practice Location

Address: 1640 MADRONA AVE S
City: Salem
State: Oregon
ZIP Code: 97302-4061
Phone: (503) 990-1220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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