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1134324304
NICOLE MATCHA
BERKELEY, CA
NPI
1134324304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
-- NICOLE MATCHA
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
-- NICOLE MATCHA
67 HENRY ST #1
SAN FRANCISCO, CA 94114-1297
Phone number:
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