Mariane Margurette Nicholson, SUDRC17478
Mariane Margurette Nicholson, SUDRC17478 is an Addiction (Substance Use Disorder) Counselor in Anaheim, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
710 N Anaheim BlvdAnaheim, CA 92805-2651
Phone: (714) 776-7490
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 17478 (CA) |
|---|
Record details
| NPI number | 1548026933 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDRC17478 |
| Sole proprietor | Yes |
| NPI enumerated | February 23, 2024 |
| Last updated in NPPES | April 24, 2024 |
| Certification date | April 11, 2024 |
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