Mr. Charles Nickell
Mr. Charles Nickell is an Addiction (Substance Use Disorder) Counselor in San Fernando, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
762 Griswold AveSan Fernando, CA 91340-2105
Phone: (747) 500-9405
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CI42120324 (CA) |
|---|
Record details
| NPI number | 1124871181 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2024 |
| Last updated in NPPES | April 9, 2024 |
| Certification date | April 9, 2024 |
| Mailing address | 386 Merrill Ave, Glendale, CA 91206-4108 |
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Adrianna Rodriguez
762 Griswold Ave, San Fernando, CA 91340-2105 · (747) 500-9405