Mrs. Nicole Lynn Ichull-Ingya, RADT
Mrs. Nicole Lynn Ichull-Ingya, RADT is a Clinical Social Worker in San Diego, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
2865 Logan AveSan Diego, CA 92113-2411
Phone: (619) 232-4357
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 121090 (CA) |
|---|
Record details
| NPI number | 1982210092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RADT |
| Sole proprietor | No |
| NPI enumerated | September 23, 2020 |
| Last updated in NPPES | November 9, 2025 |
| Certification date | November 9, 2025 |
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