Individual
ALEXIS NICHOL MEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W WASHINGTON AVE, ESCONDIDO, CA 92025-1643
(760) 489-6380
Mailing address
550 W WASHINGTON AVE, ESCONDIDO, CA 92025-1643
(760) 489-6380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1288060118
CA
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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