Cameron Nickels
Counselor, Mental Health in Arkadelphia, AR. Individual provider (NPI-1).
NPI number1477211894
StatusActive
Last updated in NPPESOct 24, 2023
Details
- NPI
- 1477211894
- Entity type
- Individual (NPI-1)
- Name
- Cameron Nickels
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2021
- Certification date
- Oct 24, 2023
- Last updated
- Oct 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2607 Caddo St Ste 6Arkadelphia, AR 71923-5307
Phone 870-230-8217
Mailing address
2607 Caddo St Ste 6Arkadelphia, AR 71923-5307
Phone 870-230-8217
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