NICHOLAS LO

STOCKTON, CA
NPI1801347778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-10-17
Last Update Date2016-10-17
Business Address
-- NICHOLAS LO
4037 ANTIOCH WAY
STOCKTON, CA 95212-2929
Phone number: 209-561-0544
Mailing Address
-- NICHOLAS LO
4037 ANTIOCH WAY
STOCKTON, CA 95212-2929
Phone number: 209-561-0544