Nichols, Mark

Nichols, Mark is an sole proprietor health care provider with primary practice located at 727 J Clyde Morris Blvd Ste A , Newport News VA 23601-1507. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Nichols, Mark can be contacted via phone (757) 595-3455.

Contact Information

Primary practice address
727 J Clyde Morris Blvd Ste A Newport News VA 23601-1507
Phone: (757) 595-3455
Fax: (757) 595-3456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701006460 Virginia

Profile Details

NPI number 1275879785
LBN Legal business name Nichols, Mark
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2013
Last updated Jul 12th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275879785 NPPES
Virginia Other 0701006460 LPC LICENSE #

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