person
Nita Jean Vincent
Addiction (Substance Use Disorder) Counselor in San Rafael, California
NPI 1891472809

Nita Jean Vincent is an Addiction (Substance Use Disorder) Counselor based in San Rafael, CA and is specialized in Addiction (Substance Use Disorder). Nita Jean Vincent practices in San Rafael, CA. The NPI Number for Nita Jean Vincent is 1891472809 and holds a License No. 210002FN (California).

The current practice location address for Nita Jean Vincent is 1477 Lincoln Ave, San Rafael, CA and can be reached out via phone at 415-459-2395 and via fax at 415-459-1292.

Location: 1477 Lincoln Ave, San Rafael, CA, 94903-2023
person
Provider Profile Details
NPI Number
1891472809
Provider Name
Nita Jean Vincent
Credential
Provider Entity Type
Individual
Gender
Female
Address
1477 Lincoln Ave, San Rafael, CA, 94903-2023
Phone Number
415-459-2395
Fax Number
415-459-1292
Provider Enumeration Date
06/30/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851510440 01 CA 2-ORG
institution
Provider Business Practice Location Address Details
Address
1477 Lincoln Ave
City
State
Zip
94901-2028
Phone Number
415-459-2395
Fax Number
415-459-1292
person
Provider Business Mailing Address Details
Address
1477 Lincoln Ave
City
State
Zip
94901-2028
Phone Number
415-459-2395
Fax Number
415-459-1292
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
210002FN (California)
Definition
Definition to come...
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