Individual provider · NPI-1

Octavio Aguiar Nicholas, L.M.H.C., C.A.P.

Counselor, Mental Health · Plantation, FL

NPI number1679889059
StatusActive
Last updated in NPPESApr 30, 2014

Details

NPI
1679889059
Entity type
Individual (NPI-1)
Name
Octavio Aguiar Nicholas
Credential
L.M.H.C., C.A.P.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 24, 2010
Last updated
Apr 30, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH10419FLYes
171M00000X Case Manager/Care CoordinatorMH10419FL

Practice location

351 N. State Road 7, Suite 200
Plantation, FL 33317

Phone 954-327-4060 · Fax 954-792-9122

Mailing address

351 N. State Road 7, Suite 200
Plantation, FL 33317

Phone 954-327-4060 · Fax 954-792-9122

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