Nichols, Kristen

Nichols, Kristen is an sole proprietor health care provider with primary practice located at 325 Il Route 2 , Dixon IL 61021-9118. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Nichols, Kristen can be contacted via phone (815) 284-6611.

Contact Information

Primary practice address
325 Il Route 2 Dixon IL 61021-9118
Phone: (815) 284-6611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 25265 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1043529886
LBN Legal business name Nichols, Kristen
Credentials MS, QMHP, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2010
Last updated Mar 20th, 2014 - about 12 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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