| Doctor Name: | MICHAEL B. NICHOLSON |
| NPI Number: | 1043457609 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | LPCPCC00216414 |
| Business Practice Address: | 854 N Elm St Apt C Hopkinsville, KY - 422405403 |
| Business Phone Number: | 5022140867 |
| Business Fax Number: | |
| Mailing Address: | 854 N Elm St Apt C, HOPKINSVILLE |
| State: | KY |
| Postal Code: | 422405403 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2009 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPCPCC00216414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |