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NICKOLAS BLACK

Professional Counselor

NPI: 1801345921IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor

Counselor

Code: 101Y00000X

Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

P2108000(AR)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2019

Contact & Hours

Address
1022 MAIN ST
CONWAY, AR 72032

Quick Facts

NPI
1801345921
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
7

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