Individual
NICHOLAS ALAN SIMRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS, CRM
Contact information
Practice address
1050 PRICE RD SE, ALBANY, OR 97322-7314
(541) 687-1110
(541) 683-9061
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PROFESSIONALLICENSE
—
Other
Enumeration date
07/26/2022
Last updated
04/10/2024
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