Larry Michael Nicholls
Larry Michael Nicholls is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2025
Practice location Address checks out
80 SE Madison StPortland, OR 97214-4527
Phone: (541) 337-6374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (OR) |
|---|
Record details
| NPI number | 1508655101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 1, 2025 |
| Last updated in NPPES | May 1, 2025 |
| Certification date | May 1, 2025 |
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