Doctor Name: | MRS. INAHI MARIA NICHOLS |
NPI Number: | 1538307889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W., LGSW |
License Number: | G11526 |
Business Practice Address: | 11178 Captains Walk Ct North Potomac, MD - 208784222 |
Business Phone Number: | 3014249162 |
Business Fax Number: | |
Mailing Address: | 11178 Captains Walk Ct, NORTH POTOMAC |
State: | MD |
Postal Code: | 208784222 |
Phone Number: | 3014249162 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2009 |
NPI Last Update Date: | 01/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | G11526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |