Individual
CAROL E NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-CAS
Contact information
Practice address
105 HOSPITAL RD, SONORA, CA 95370-5227
(209) 533-6245
Mailing address
2 S GREEN ST, SONORA, CA 95370-4618
(209) 533-6245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C8711214
CA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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