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NPI Code Detail

MEDICARE: MS. LINDA NICHOLSON M.S., LPC, LSATP

MEDICARE: MS. LINDA NICHOLSON M.S., LPC, LSATP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor37PC00446800NJ
2101YA0400XAddiction (Substance Use Disorder) Counselor0718000293VA
3101YP2500XProfessional Counselor0701006634VA

General Provider Information

NPI Number : 1114278264
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA NICHOLSON M.S., LPC, LSATP
Provider Business Mailing Address
First Line : 6414 SEVEN OAKS CT
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22042-3131
Country : US
Telephone Number : 908-313-2176
Fax Number :
Provider Business Practice Location Address
First Line : 6414 SEVEN OAKS CT
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22042-3131
Country : US
Telephone Number : 908-313-2176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2012
Last Update Date : 07/31/2020

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