person
Nico Tank
Addiction (Substance Use Disorder) Counselor in La Puente, California
NPI 1114433927

Nico Tank is an Addiction (Substance Use Disorder) Counselor based in Rosemead, CA and is specialized in Addiction (Substance Use Disorder). Nico Tank practices in La Puente, CA. The NPI Number for Nico Tank is 1114433927 and holds a License No. R1268591017 (California).

The current practice location address for Nico Tank is 15229 Amar Rd, La Puente, CA and can be reached out via phone at 626-855-5090.

Location: 15229 Amar Rd, La Puente, CA, 91770-1349
person
Provider Profile Details
NPI Number
1114433927
Provider Name
Nico Tank
Credential
Provider Entity Type
Individual
Gender
Male
Address
15229 Amar Rd, La Puente, CA, 91770-1349
Phone Number
626-855-5090
Fax Number
Provider Enumeration Date
12/18/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15229 Amar Rd
City
State
Zip
91744-2066
Phone Number
626-855-5090
Fax Number
person
Provider Business Mailing Address Details
Address
15229 Amar Rd
City
State
Zip
91744-2066
Phone Number
626-855-5090
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1268591017 (California)
Definition
Definition to come...
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