Individual
NICOLE KATHLEEN NEWCOMB
Active
Individual
NICOLE KATHLEEN NEWCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ASW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW62470
CA
363AM0700X
Medical Physician Assistant
Primary
PA56882
CA
Other
Enumeration date
08/01/2013
Last updated
06/29/2021
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