person
Kevin Fitzgerald Nichols
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1144885898

Kevin Fitzgerald Nichols is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Kevin Fitzgerald Nichols practices in San Diego, CA. The NPI Number for Kevin Fitzgerald Nichols is 1144885898 and holds a License No. (California).

The current practice location address for Kevin Fitzgerald Nichols is 3340 Kemper St Ste 105, San Diego, CA and can be reached out via phone at 619-523-8121 and via fax at 619-523-8742.

Location: 3340 Kemper St Ste 105, San Diego, CA, 92110-4907
person
Provider Profile Details
NPI Number
1144885898
Provider Name
Kevin Fitzgerald Nichols
Credential
Provider Entity Type
Individual
Gender
Male
Address
3340 Kemper St Ste 105, San Diego, CA, 92110-4907
Phone Number
619-523-8121
Fax Number
619-523-8742
Provider Enumeration Date
05/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
373781 05 CA
institution
Provider Business Practice Location Address Details
Address
3340 Kemper St Ste 105
City
State
Zip
92110-4907
Phone Number
619-523-8121
Fax Number
619-523-8742
person
Provider Business Mailing Address Details
Address
3340 Kemper St Ste 105
City
State
Zip
92110-4907
Phone Number
619-523-8121
Fax Number
619-523-8742
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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