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NPI Code Detail

MEDICARE: MRS. SYLVIA DAWSON NICHOLS LPC

MEDICARE:  MRS. SYLVIA DAWSON NICHOLS  LPC
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 Counselor1397TX

General Provider Information

NPI Number : 1033320379
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SYLVIA DAWSON NICHOLS LPC
Provider Business Mailing Address
First Line : 2701 WESTWOOD DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-2822
Country : US
Telephone Number : 817-437-8428
Fax Number : 817-460-8486
Provider Business Practice Location Address
First Line : 2701 WESTWOOD DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-2822
Country : US
Telephone Number : 817-437-8428
Fax Number : 817-460-8486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. SYLVIA DAWSON NICHOLS LPC” Practice Location

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