Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholaus Sandoval

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093404626

Nicholaus Sandoval is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4

Practice location Address checks out

416 Corson Ave
Modesto, CA 95350-5408
Phone: (209) 521-1805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093404626
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateApril 17, 2023
Mailing address2900 Curtion Ave, Turlock, CA 95380-6408

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