Chantel Marie Nichols

NPI #1639640733 in Baker City, Oregon

Provider Information

NPI Number: 1639640733
Entity Type: Individual
Name: Chantel Marie Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 2200 4TH ST
City: Baker City
State: Oregon
ZIP Code: 97814-2615
Phone: (541) 523-3646

Specialties & Taxonomy Codes

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

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