Jae Nicholson
Jae Nicholson is a Professional Counselor in Bryan, Texas. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2490 Boonville RdBryan, TX 77808-2326
Phone: (979) 703-1808
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 76655 |
|---|
Record details
| NPI number | 1619620176 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 3, 2022 |
| Last updated in NPPES | February 3, 2022 |
| Certification date | February 3, 2022 |
| Mailing address | 2490 Boonville Rd, Bryan, TX 77808-2326 |
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