Roxanne L Nichols
Mental Health Counselor
Boise State University 1910 University Drive
Boise
, Idaho 83725-1351
Roxanne L Nichols
Mental Health Counselor
Boise State University 1910 University Drive
Boise
, Idaho 83725-1351
(208) 426-3005
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Roxanne L Nichols
- Boise State University 1910 University Drive
- Boise, ID
- Zip : 83725-1351
- Fax : (208) 426-3005
- Phone : (208) 426-2869
Second Address
- Roxanne L Nichols
- Boise State University 1910 University Drive
- Boise, ID
- Zip : 83725-1351
- Fax : (208) 426-3005
- Phone : (208) 426-2869
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | LCPC4245 | ID |
National Provider Identifier
| NPI | 1003101189 |
|---|---|
| Provider Name | Roxanne L Nichols |
| First Address | Boise, ID 83725-1351 |
| Second Address | Boise, ID 83725-1351 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2011 |
| Last Update Date | 16/06/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.