JENNIFER MARIE NICHOLAS

SAN JOSE, CA
NPI1356612915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  94-1688522)
Enumeration Date2012-01-13
Last Update Date2012-01-13
Business Address
Mrs. JENNIFER MARIE NICHOLAS CADC II
9500 MALECH ROAD
SAN JOSE, CA 95138
Phone number: 408-281-8555
Mailing Address
Mrs. JENNIFER MARIE NICHOLAS CADC II
PO BOX 13219
COYOTE, CA 95013-3219
Phone number: 408-281-8555