Individual provider · Type 1 NPI

Niki Nakamura, SUDRC I

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

NPI number 1396684718 Active

Practice location

2251 Palm Ave
San Mateo, CA 94403-1814

Call (650) 513-6500 Map

Mailing address

PO Box 620204
Woodside, CA 94062-0204

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24352 (CA)

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

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About NPI 1396684718

Niki Nakamura, SUDRC I's National Provider Identifier is 1396684718, issued on Mar 28, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Mateo, CA. The record was last updated on Mar 28, 2026.