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Individual
NICOLE APODACA
Active
Individual
NICOLE APODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225X00000X
Occupational Therapist
Primary
24921
CA
225XM0800X
Mental Health Occupational Therapist
24921
CA
373H00000X
Day Training/Habilitation Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2022
Last updated
06/17/2026
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