Individual
CASSANDRA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 SAN BENITO ST, HOLLISTER, CA 95023-4899
(831) 636-2121
(831) 635-0318
Mailing address
1850 SAN BENITO ST, HOLLISTER, CA 95023-4899
(831) 636-2121
(831) 635-0318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/21/2016
Last updated
06/25/2020
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