Search › Oklahoma › 1041C0700X
Autumn Nickelson
NPI 1619142767 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1222 10th Street, Suite 211
Northwest Center For Behavioral Health
Woodward, OK 73801 - Phone
- (580) 571-3231
- Fax
- (580) 571-8609
- Organisation at this address
- State Of Oklahoma
Grand Lake Mental Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 106
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 106H00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma