Individual
NICHOALS FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 WATT AVE, SACRAMENTO, CA 95821-2667
(916) 960-6163
Mailing address
6148 SHADOW LN, CITRUS HEIGHTS, CA 95621-6046
(916) 960-6163
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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