Kelley Anne Nicholson
Kelley Anne Nicholson is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1235 McHenry Ave Ste A&bModesto, CA 95350-5370
Phone: (209) 527-4597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1962059832 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 24, 2019 |
| Last updated in NPPES | August 24, 2019 |
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