TIMOTHY MARK NICKELL

SAN LEANDRO, CA
NPI1710050752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
-- TIMOTHY MARK NICKELL MHRS
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1446
Mailing Address
-- TIMOTHY MARK NICKELL MHRS
770 KINGSTON AVE APT 201
PIEDMONT, CA 94611-4457
Phone number: 510-777-5374