NICKI NAKESSA GRISWOLD

LA PUENTE, CA
NPI1760519862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  G0409281511)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
Mrs. NICKI NAKESSA GRISWOLD
15229 AMAR RD
LA PUENTE, CA 91744-2066
Phone number: 626-855-5090
Mailing Address
Mrs. NICKI NAKESSA GRISWOLD
2399 WHITE ST
PASADENA, CA 91107-3265
Phone number: 626-796-8747