Leasa Nichols

NPI #1346576261 in Miami, Oklahoma

Provider Information

NPI Number: 1346576261
Entity Type: Individual
Name: Leasa Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 28, 2009
Last Updated: Oct 28, 2009

Practice Location

Address: 120 S TREATY RD
City: Miami
State: Oklahoma
ZIP Code: 74354-5326
Phone: (918) 540-1511

Specialties & Taxonomy Codes

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

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