Individual
CHRISTOPHER BURL NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT
Contact information
Practice address
1601 2ND ST, SAN RAFAEL, CA 94901-2712
(415) 456-6655
Mailing address
1601 2ND ST, SAN RAFAEL, CA 94901-2712
(415) 456-6655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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