Ethan Nicholas's National Provider Identifier (NPI) Details
Ethan Nicholas, LCSW, LAC, LMSW
NPI: 1518350222
Enumeration Date: 2015-03-05
Last updated: 2024-07-22
Sole Proprietor: NO
Status: active
Postal Address: 2480 LLEWELLYN AVE, FORT MEADE, MD
Phone: 301-677-8895
Primary Practice Address: 2005 TOWN CENTER BLVD UNIT 3441, ODENTON, MD
Practice's phone: 985-227-3897