MR. Jasen Ralph Nichols, M.A.
NPI #1528332921 in Elizabeth, West Virginia
Provider Information
- NPI Number
- 1528332921
- Entity Type
- Individual
- Name
- MR. Jasen Ralph Nichols, M.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- M.A.
- Enumeration Date
- Mar 2, 2012
- Last Updated
- Feb 17, 2017
Practice Location
- Address
- 483 COURT STREET
- City
- Elizabeth
- State
- West Virginia
- ZIP Code
- 26143-0609
- Phone
- (304) 275-3301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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