Nichols, Elena Sergeyevna
Nichols, Elena Sergeyevna is an individual health care provider with primary practice located at 486 Main St Apt A , Winooski VT 05404-1338. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nichols, Elena Sergeyevna can be contacted via phone (802) 865-3450.Contact Information
Primary practice address
486 Main St Apt A
Winooski VT 05404-1338
Phone: (802) 865-3450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089.0119566 | Vermont |
Profile Details
| NPI number | 1013588490 |
|---|---|
| LBN Legal business name | Nichols, Elena Sergeyevna |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2021 |
| Last updated | Jul 7th, 2021 - about 5 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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