CHARLES NICKELL

SAN FERNANDO, CA
NPI1124871181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ci42120324)
Enumeration Date2024-04-09
Last Update Date2024-04-09
Business Address
Mr. CHARLES NICKELL
762 GRISWOLD AVE
SAN FERNANDO, CA 91340-2105
Phone number: 747-500-9405
Mailing Address
Mr. CHARLES NICKELL
386 MERRILL AVE
GLENDALE, CA 91206-4108
Phone number:
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