person
Miss Nicole Marie Keadle
Addiction (Substance Use Disorder) Counselor in Santa Cruz, California
NPI 1669847018

Nicole Marie Keadle is an Addiction (Substance Use Disorder) Counselor based in Santa Cruz, CA and is specialized in Addiction (Substance Use Disorder). Nicole Marie Keadle practices in Santa Cruz, CA. The NPI Number for Nicole Marie Keadle is 1669847018 and holds a License No. RI-K1511041608 (California).

The current practice location address for Nicole Marie Keadle is 8030 Soquel Ave, Santa Cruz, CA and can be reached out via phone at 831-476-1747 and via fax at 831-476-1125.

Location: 8030 Soquel Ave, Santa Cruz, CA, 95062-2096
person
Provider Profile Details
NPI Number
1669847018
Provider Name
Nicole Marie Keadle
Credential
Provider Entity Type
Individual
Gender
Female
Address
8030 Soquel Ave, Santa Cruz, CA, 95062-2096
Phone Number
831-476-1747
Fax Number
831-476-1125
Provider Enumeration Date
12/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8030 Soquel Ave
City
State
Zip
95062-2096
Phone Number
831-476-1747
Fax Number
831-476-1125
person
Provider Business Mailing Address Details
Address
8030 Soquel Ave
City
State
Zip
95062-2096
Phone Number
831-476-1747
Fax Number
831-476-1125
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RI-K1511041608 (California)
Definition
Definition to come...
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