MICHAEL NICHOLS

STOCKTON, CA
NPI1326837626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1609240425)
Enumeration Date2025-05-02
Last Update Date2025-05-07
Business Address
MICHAEL NICHOLS RADT
3120 E ANITA ST
STOCKTON, CA 95205-3905
Phone number: 209-451-0315
Mailing Address
MICHAEL NICHOLS RADT
3120 E ANITA ST
STOCKTON, CA 95205-3905
Phone number: 209-451-0315
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