Theron Robert Nicholson is a Gallup, New Mexico based counselor who is specialized as Mental Health Counselor. Active license number of Theron Robert Nicholson is CTB-2025-0065 for Mental Health Counselor in New Mexico. His current practice location is 2025 E Aztec Ave, Gallup. Patients can book an appointment with him at 505-863-3828.
Theron Robert Nicholson is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Theron Robert Nicholson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Theron Robert Nicholson
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
LMHC
Accepts Medicare Assignment:
No
Practice Address:
2025 E Aztec Ave, Gallup, New Mexico, 87301-4803
Phone:
505-863-3828
Fax:
505-443-8345
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1124498423
NPI Enumeration Date:
29 Sep, 2015
NPI Last Update On:
05 Feb, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theron Robert Nicholson are as mentioned below.
License Number
Specialization
State
Status
CTB-2025-0065
Mental Health Counselor
New Mexico
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5305 Mcnutt Rd, Santa Teresa, New Mexico
Zip:
88008-8937
Phone Number:
575-882-5100
Fax Number:
575-882-1151
Patients can reach Theron Robert Nicholson at 2025 E Aztec Ave, Gallup, New Mexico or can call to book an appointment on 505-863-3828. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.