Raevin Nickerson, RAD-T
Raevin Nickerson, RAD-T is an Addiction (Substance Use Disorder) Counselor in Fairfield, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1225 Travis BlvdFairfield, CA 94533-4892
Phone: (707) 399-9105
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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 · Licence R1521270823 (CA) |
|---|
Record details
| NPI number | 1487438594 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RAD-T |
| Sole proprietor | No |
| NPI enumerated | August 21, 2023 |
| Last updated in NPPES | August 21, 2023 |
| Certification date | August 21, 2023 |
| Mailing address | 609 Jefferson St, Fairfield, CA 94533-6293 |
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