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1356612915
JENNIFER MARIE NICHOLAS
SAN JOSE, CA
NPI
1356612915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 94-1688522)
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
Mrs. JENNIFER MARIE NICHOLAS CADC II
9500 MALECH ROAD
SAN JOSE, CA 95138
Phone number: 408-281-8555
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Mailing Address
Mrs. JENNIFER MARIE NICHOLAS CADC II
PO BOX 13219
COYOTE, CA 95013-3219
Phone number: 408-281-8555
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