KEVIN ADAM NICOLAU

LONG BEACH, CA
NPI1508120536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2012-06-25
Last Update Date2012-06-25
Business Address
KEVIN ADAM NICOLAU
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-987-5722
Mailing Address
KEVIN ADAM NICOLAU
1041 REDONDO AVE
LONG BEACH, CA 90804-3928
Phone number: 562-987-5722
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