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Individual

NICKOLAS OLABODE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8921 CALIFORNIA AVE, SOUTH GATE, CA 90280-3013
(323) 487-5002
Mailing address
12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3771
(562) 777-7500

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
175T00000X
Peer Specialist
Primary

Other

Enumeration date
11/14/2023
Last updated
05/02/2025
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