Individual
AUDREA LYNNE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 OLD RIVER RD STE 150, BAKERSFIELD, CA 93311-8334
(661) 342-4538
Mailing address
100 OLD RIVER RD STE 150, BAKERSFIELD, CA 93311-8334
(661) 342-4538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107535
CA
104100000X
Social Worker
Primary
—
CA
106S00000X
Behavior Technician
Primary
107535
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
107535
CA
Other
Enumeration date
02/17/2022
Last updated
03/27/2026
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