Individual
NICKIAH SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 BAKER ST, COSTA MESA, CA 92626-4566
(714) 673-7095
Mailing address
275 BAKER ST, COSTA MESA, CA 92626-4566
(714) 361-6768
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
175T00000X
Peer Specialist
Primary
MPSS-XCNVTD
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02768010
DRUG MEDI-CAL
CA
Enumeration date
03/14/2016
Last updated
05/08/2026
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