Individual provider · Type 1 NPI

Taylor Marie Nicholson

Counselor · San Diego, CA

NPI number 1063981132 Active

Practice location

8755 Aero Dr Ste 230
San Diego, CA 92123-1750

Call (858) 256-2180 Map

Fax (000) 000-0000

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XY3942658 (CA)
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063981132

Taylor Marie Nicholson's National Provider Identifier is 1063981132, issued on Nov 19, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 27, 2021.