Provider Demographics
NPI:1215137278
Name:NICHOLAS, STEVEN WOOD (MFT-I, NCC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:WOOD
Last Name:NICHOLAS
Suffix:
Gender:M
Credentials:MFT-I, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5845 INGLESTON DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-5016
Mailing Address - Country:US
Mailing Address - Phone:775-335-5746
Mailing Address - Fax:
Practice Address - Street 1:421 W PLUMB LN # F
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3766
Practice Address - Country:US
Practice Address - Phone:775-335-5746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVR07028106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist