Nicholson, Charmaine L
Nicholson, Charmaine L is an sole proprietor health care provider with primary practice located at 1324 Central Ave W # 14 , Great Falls MT 59404-3971. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Nicholson, Charmaine L can be contacted via phone (406) 788-1977.Contact Information
Primary practice address
1324 Central Ave W # 14
Great Falls MT 59404-3971
Phone: (406) 788-1977
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 488LCPC | Montana |
Profile Details
| NPI number | 1902944317 |
|---|---|
| LBN Legal business name | Nicholson, Charmaine L |
| Credentials | MA, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902944317 | NPPES |
| Montana | Other | 074896 | LCPC BLUE CROSS |
| Montana | MEDICAID | 250240 | LCPC BLUE CROSS |
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