NICHOLAS DANIEL PECENICA

BEDFORD, IN
NPI1952040743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  C2-51280)
Enumeration Date2022-06-01
Last Update Date2022-06-01
Business Address
NICHOLAS DANIEL PECENICA CADAC II
1141 16TH ST
BEDFORD, IN 47421-3721
Phone number: 812-558-0574
Mailing Address
NICHOLAS DANIEL PECENICA CADAC II
11175 PR 900 W
POLAND, IN 47868
Phone number: 219-613-8620
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