Mary Rose Nichols, LCSW, CADCIII
NPI #1477572188 in Enterprise, Oregon
Provider Information
- NPI Number
- 1477572188
- Entity Type
- Individual
- Name
- Mary Rose Nichols, LCSW, CADCIII
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCSW, CADCIII
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Feb 7, 2008
Practice Location
- Address
- 207 SW 1ST ST
- City
- Enterprise
- State
- Oregon
- ZIP Code
- 97828-1203
- Phone
- (541) 426-4524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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