Individual provider · NPI-1
Ashleigh Nichols
Counselor, Mental Health · Wood Dale, IL
NPI number1003516816
StatusActive
Last updated in NPPESMar 9, 2023
Details
- NPI
- 1003516816
- Entity type
- Individual (NPI-1)
- Name
- Ashleigh Nichols
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2023
- Certification date
- Mar 9, 2023
- Last updated
- Mar 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 180014647 | IL | Yes |
Practice location
465 Jennifer CtWood Dale, IL 60191-2749
Phone 630-485-9046
Mailing address
287 Lorton AveBurlingame, CA 94010-4203
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