NICHOLAS JAMES EDGE

SOUTH LAKE TAHOE, CA
NPI1770939308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-05-12
Last Update Date2024-06-25
Business Address
NICHOLAS JAMES EDGE
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7970
Mailing Address
NICHOLAS JAMES EDGE
995 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4500
Phone number: 619-398-2196
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