Katina Nichols

NPI #1912311937 in Mentor, Ohio

Provider Information

NPI Number: 1912311937
Entity Type: Individual
Name: Katina Nichols
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jun 18, 2014
Last Updated: Dec 15, 2023

Practice Location

Address: 7232 JUSTIN WAY
City: Mentor
State: Ohio
ZIP Code: 44060-4881
Phone: (440) 578-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X

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