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1912079559
KENNETH DARRELL NICHOLS
SANTA MARIA, CA
NPI
1912079559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 40868)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Mr. KENNETH DARRELL NICHOLS MFT
500 W FOSTER RD
SANTA MARIA, CA 93455-3620
Phone number: 805-934-6591
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Mailing Address
Mr. KENNETH DARRELL NICHOLS MFT
500 W FOSTER RD
SANTA MARIA, CA 93455-3620
Phone number: 805-934-6591
Copy
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