Jae Nicholson
Professional Counselor · Bryan, TX
Practice location
2490 Boonville RdBryan, TX 77808-2326
- Phone
- (979) 703-1808
NPI record
- NPI
- 1619620176
- Entity type
- Individual (Type 1)
- Enumeration date
- February 3, 2022
- Last updated
- February 3, 2022
- Certified
- February 3, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Professional Counselor Primary | 101YP2500X |
76655 | — |
About Jae Nicholson
Jae Nicholson is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 2490 Boonville Rd, Bryan, TX 77808-2326. The NPI number 1619620176 was assigned on February 3, 2022 and the record was last updated on February 3, 2022.
Jae Nicholson lists a license in the registry: #76655 for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jae Nicholson?
The NPI number is 1619620176.
What is the phone number of Jae Nicholson?
The phone number listed for the practice location is (979) 703-1808.
Where is Jae Nicholson located?
2490 Boonville Rd, Bryan, TX 77808-2326.
What is the taxonomy code for Jae Nicholson?
The primary taxonomy code is 101YP2500X – Professional Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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