MR. Charles Nickell
NPI #1124871181 in San Fernando, California
Provider Information
- NPI Number
- 1124871181
- Entity Type
- Individual
- Name
- MR. Charles Nickell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Apr 9, 2024
- Last Updated
- Apr 9, 2024
Practice Location
- Address
- 762 GRISWOLD AVE
- City
- San Fernando
- State
- California
- ZIP Code
- 91340-2105
- Phone
- (747) 500-9405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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