Individual provider · Type 1 NPI

Jennifer Marie Nicholas, CADC II

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1356612915 Active

Practice location

9500 Malech Road
San Jose, CA 95138

Call (408) 281-8555 Map

Fax (408) 281-6580

Mailing address

PO Box 13219
Coyote, CA 95013-3219

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X94-1688522 (CA)

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

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About NPI 1356612915

Jennifer Marie Nicholas, CADC II's National Provider Identifier is 1356612915, issued on Jan 13, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Jan 13, 2012.