NICHOLE GAGO

TARZANA, CA
NPI1124747134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1469520522)
Enumeration Date2022-08-23
Last Update Date2022-08-23
Business Address
NICHOLE GAGO
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
Mailing Address
NICHOLE GAGO
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
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