Jeanette Ida Nicolas
NPI #1043539612 in Sylmar, California
Provider Information
- NPI Number
- 1043539612
- Entity Type
- Individual
- Name
- Jeanette Ida Nicolas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 21, 2010
- Last Updated
- May 21, 2010
Practice Location
- Address
- 13741 FOOTHILL BLVD STE 270
- City
- Sylmar
- State
- California
- ZIP Code
- 91342-3150
- Phone
- (818) 833-9789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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