Nicholas, Ethan

Nicholas, Ethan is an individual health care provider with primary practice located at 2480 Llewellyn Ave , Fort Meade MD 20755-7081. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Nicholas, Ethan can be contacted via phone (301) 677-8895.

Contact Information

Primary practice address
2480 Llewellyn Ave Fort Meade MD 20755-7081
Phone: (301) 677-8895
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1548 Louisiana
Behavioral Health & Social Service Providers / Social Worker 104100000X 12901 Louisiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12901 Louisiana

Profile Details

NPI number 1518350222
LBN Legal business name Nicholas, Ethan
Credentials LCSW, LAC, LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2015
Last updated Jul 22nd, 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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