TRAVIS GEORGE NICHOLS

SACRAMENTO, CA
NPI1003431495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1370771119)
Enumeration Date2020-06-10
Last Update Date2020-06-10
Business Address
TRAVIS GEORGE NICHOLS
1914 22ND ST
SACRAMENTO, CA 95816-7109
Phone number: 916-455-6258
Mailing Address
TRAVIS GEORGE NICHOLS
1914 22ND ST
SACRAMENTO, CA 95816-7109
Phone number: 916-455-6258
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