Azan, Nickesha Christine

Azan, Nickesha Christine is an sole proprietor health care provider with primary practice located at 400 Churchill Ct Ste 440 , Woodstock GA 30188-6871. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Azan, Nickesha Christine can be contacted via phone (202) 384-2875.

Contact Information

Primary practice address
400 Churchill Ct Ste 440 Woodstock GA 30188-6871
Phone: (202) 384-2875
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 83024 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW009076 Georgia

Profile Details

NPI number 1598281750
LBN Legal business name Azan, Nickesha Christine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2017
Last updated Apr 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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