person
Mariane M Nicholson, SUDRC17478
Addiction (Substance Use Disorder) Counselor in Anaheim, California
NPI 1548026933

Mariane M Nicholson is an Addiction (Substance Use Disorder) Counselor based in Anaheim, CA and is specialized in Addiction (Substance Use Disorder). Mariane M Nicholson practices in Anaheim, CA and has the professional credentials of SUDRC17478. The NPI Number for Mariane M Nicholson is 1548026933 and holds a License No. 17478 (California).

The current practice location address for Mariane M Nicholson is 710 N Anaheim Blvd, Anaheim, CA and can be reached out via phone at 714-776-7490.

Location: 710 N Anaheim Blvd, Anaheim, CA, 92805-2651
person
Provider Profile Details
NPI Number
1548026933
Provider Name
Mariane M Nicholson
Credential
SUDRC17478
Provider Entity Type
Individual
Gender
Female
Address
710 N Anaheim Blvd, Anaheim, CA, 92805-2651
Phone Number
714-776-7490
Fax Number
Provider Enumeration Date
02/23/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
710 N Anaheim Blvd
City
State
Zip
92805-2651
Phone Number
714-776-7490
Fax Number
person
Provider Business Mailing Address Details
Address
710 N Anaheim Blvd
City
State
Zip
92805-2651
Phone Number
714-776-7490
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17478 (California)
Definition
Definition to come...
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