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Nicolle Danielle Tissot - Desmarais
Mental Health Counselor in Lafayette, California
NPI 1053942714

Nicolle Danielle Tissot - Desmarais is a Mental Health Counselor based in Lafayette, CA and is specialized in Mental Health. Nicolle Danielle Tissot - Desmarais practices in Lafayette, CA. The NPI Number for Nicolle Danielle Tissot - Desmarais is 1053942714 and holds a License No. (California).

The current practice location address for Nicolle Danielle Tissot - Desmarais is 3468 Mt Diablo Blvd Ste B301, Lafayette, CA and can be reached out via phone at 925-297-5442.

Location: 3468 Mt Diablo Blvd Ste B301, Lafayette, CA, 94549-7101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053942714
Provider Name
Nicolle Danielle Tissot - Desmarais
Credential
Provider Entity Type
Individual
Gender
Female
Address
3468 Mt Diablo Blvd Ste B301, Lafayette, CA, 94549-7101
Phone Number
925-297-5442
Fax Number
Provider Enumeration Date
01/31/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3468 Mt Diablo Blvd Ste B301
City
Lafayette
State
California
Zip
94549-7101
Phone Number
925-297-5442
Fax Number
person
Provider Business Mailing Address Details
Address
3468 Mt Diablo Blvd Ste B301
City
Lafayette
State
California
Zip
94549-7101
Phone Number
925-297-5442
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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