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Ebony Nickerson, LPC

Counselor, Professional in Dallas, TX. Individual provider (NPI-1).

NPI number1962067744
StatusActive
Last updated in NPPESMay 21, 2020

Details

NPI
1962067744
Entity type
Individual (NPI-1)
Name
Mrs. Ebony Nickerson
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
May 7, 2019
Certification date
May 21, 2020
Last updated
May 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional71630TXYes

Practice location

10300 N Central Expy Ste 280
Dallas, TX 75231-8666

Phone 214-909-9545

Mailing address

10300 N Central Expy Ste 280
Dallas, TX 75231

Phone 214-909-9545

Other practice locations

6969 C F Hawn Fwy
Dallas, TX 75217-4810

Phone 214-909-9545

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