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1699161661
NICOLE RICHARDSON
FULLERTON, CA
NPI
1699161661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10165)
Enumeration Date
2015-04-07
Last Update Date
2020-12-29
Business Address
Miss NICOLE RICHARDSON SUDCC
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-992-4770
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Mailing Address
Miss NICOLE RICHARDSON SUDCC
258 N KATHLEEN LN APT D
ORANGE, CA 92869-2529
Phone number: 714-787-0247
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