NICOLE DIANE BLISS

SANTA ANA, CA
NPI1205488236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  15148-RAC)
Enumeration Date2019-07-10
Last Update Date2022-01-14
Business Address
NICOLE DIANE BLISS
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
Mailing Address
NICOLE DIANE BLISS
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373