Individual
CHRISTINA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 CHURCH LN, SAN PABLO, CA 94806-3707
(510) 236-3134
(510) 236-3151
Mailing address
1901 CHURCH LN, SAN PABLO, CA 94806-3707
(510) 236-3134
(510) 236-3151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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