KELLEY ANNE NICHOLSON

MODESTO, CA
NPI1962059832
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-24
Last Update Date2019-08-24
Business Address
KELLEY ANNE NICHOLSON
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350-5370
Phone number: 209-527-4597
Mailing Address
KELLEY ANNE NICHOLSON
4000 TIERRA LAGO DR
MODESTO, CA 95356-8743
Phone number: 510-325-6790
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