NICOLE CELESTE RICHARD

OAKLAND, CA
NPI1386306835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  103825)
Enumeration Date2021-10-12
Last Update Date2021-10-12
Business Address
NICOLE CELESTE RICHARD SUDRC
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603-3221
Phone number: 510-777-8448
Mailing Address
NICOLE CELESTE RICHARD SUDRC
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603-3221
Phone number: 510-777-8448