Nicholson, Theron Robert

Nicholson, Theron Robert is an individual health care provider with primary practice located at 211 N Water St , Las Cruces NM 88001-1219. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Nicholson, Theron Robert can be contacted via phone (505) 295-4182.

Contact Information

Primary practice address
211 N Water St Las Cruces NM 88001-1219
Phone: (505) 295-4182
Fax: (575) 520-2824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CTB-2025-0065 New Mexico
Other Service Providers / Community Health Worker 172V00000X New Mexico

Profile Details

NPI number 1124498423
LBN Legal business name Nicholson, Theron Robert
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2015
Last updated Oct 22nd, 2025 - about last year

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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