Jeanette Ida Nicolas
Jeanette Ida Nicolas is an Addiction (Substance Use Disorder) Counselor in Sylmar, California. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
13741 Foothill Blvd Ste 270Sylmar, CA 91342-3150
Phone: (818) 833-9789
Fax: (818) 833-9790
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1043539612 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 21, 2010 |
| Last updated in NPPES | May 21, 2010 |
| Mailing address | 13741 Foothill Blvd Ste 270, Sylmar, CA 91342-3150 |
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