person
Samuel Nichols III
Peer Specialist in Modesto, California
NPI 1902674062

Samuel Nichols III is a Peer Specialist based in Modesto, CA. Samuel Nichols III practices in Modesto, CA. The NPI Number for Samuel Nichols III is 1902674062 and holds a License No. (California).

The current practice location address for Samuel Nichols III is 1001 Needham St, Modesto, CA and can be reached out via phone at 209-569-0373 and via fax at 209-529-8519.

Location: 1001 Needham St, Modesto, CA, 95354-0730
person
Provider Profile Details
NPI Number
1902674062
Provider Name
Samuel Nichols III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1001 Needham St, Modesto, CA, 95354-0730
Phone Number
209-569-0373
Fax Number
209-529-8519
Provider Enumeration Date
12/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1001 Needham St
City
State
Zip
95354-0730
Phone Number
209-569-0373
Fax Number
209-529-8519
person
Provider Business Mailing Address Details
Address
1001 Needham St
City
State
Zip
95354-0730
Phone Number
209-569-0373
Fax Number
209-529-8519
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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