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Individual
NICOLE CASELLA
Active
Individual
NICOLE CASELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92964
CA
251V00000X
Voluntary or Charitable Agency
63993
CA
Other
Enumeration date
09/25/2014
Last updated
09/14/2019
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