JUSTIN TODD NICOL

MORAINE, OH
NPI1285130468
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: OH  S.2303110-TRNE)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.110736)
Enumeration Date2018-04-05
Last Update Date2024-01-26
Business Address
JUSTIN TODD NICOL cdca, swt
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-293-8300
Mailing Address
JUSTIN TODD NICOL cdca, swt
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-293-8300