Individual
THERESA MARIE NICKELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 COE AVE, SEASIDE, CA 93955-6589
(831) 645-1261
Mailing address
700 PACIFIC ST, MONTEREY, CA 93940-2815
(831) 645-1261
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
220244744
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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