Individual
ANDREA ELIDA NIBOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 LOGAN AVE UNIT 1516, SAN DIEGO, CA 92113-2411
(619) 232-4357
Mailing address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1225151624
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1225151624
CA
Other
Enumeration date
03/27/2026
Last updated
04/16/2026
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