| Julia M Nickle Lmhc, Inc | |
|
3997 Commons Dr W Ste C Destin FL 32541-8443 | |
| (850) 376-5107 | |
| Not Available |
| Full Name | Julia M Nickle Lmhc, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3997 Commons Dr W, Destin, Florida |
| Authorized Official Name and Position | Julia M Nickle (OWNER) |
| Authorized Official Contact | 4178124866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia M Nickle Lmhc, Inc Po Box 11224 Springfield MO 65808-1224 Ph: (417) 812-4866 | Julia M Nickle Lmhc, Inc 3997 Commons Dr W Ste C Destin FL 32541-8443 Ph: (850) 376-5107 |
| NPI Number | 1104196369 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 02/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104196369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH8238 (Florida) | Primary |
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