Individual provider · Type 1 NPI

Nicole Marie Elias

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1285317073 Active

Practice location

604 Broadway St
Vallejo, CA 94590-3323

Call (707) 624-2748 Map

Mailing address

Bibett Corporation, 604 Broadway St
Vallejo, CA 94590

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1285317073

Nicole Marie Elias's National Provider Identifier is 1285317073, issued on Aug 9, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Aug 9, 2023.