Provider Demographics
NPI:1962411496
Name:NICHOLAS, JANET CLAIRE (LPC LCDC)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:CLAIRE
Last Name:NICHOLAS
Suffix:
Gender:F
Credentials:LPC LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 RANCH CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-6487
Mailing Address - Country:US
Mailing Address - Phone:713-882-4268
Mailing Address - Fax:281-292-2365
Practice Address - Street 1:26203 OAKRIDGE DRIVE
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1960
Practice Address - Country:US
Practice Address - Phone:713-882-4268
Practice Address - Fax:281-292-2365
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15464174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist