Dr. Bornell Nicholson, PhD
Marriage & Family Therapist in Spokane, WA. Individual provider (NPI-1).
NPI number1295186294
StatusActive
Last updated in NPPESJul 19, 2025
Details
- NPI
- 1295186294
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bornell Nicholson
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2016
- Certification date
- Jul 19, 2025
- Last updated
- Jul 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF61468637 | WA | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
5901 N Lidgerwood St Ste 223Spokane, WA 99208-1122
Phone 509-444-8200 · Fax 509-434-0392
Mailing address
611 N Iron Bridge WaySpokane, WA 99202-4932
Phone 509-444-8888 · Fax 509-444-7806
Other practice locations
70 S River St
Aurora, IL 60506-5185
Aurora, IL 60506-5185
Phone 630-844-2662
1007 Church St Ste 302
Evanston, IL 60201-5912
Evanston, IL 60201-5912
Phone 630-450-0625
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