Individual
DANA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401-8750
(805) 781-3535
Mailing address
861 MARLBANK PL, PASO ROBLES, CA 93446-2791
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22856
CA
1041C0700X
Clinical Social Worker
LCS 22856
CA
Other
Enumeration date
05/23/2007
Last updated
03/27/2023
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