Individual provider · Type 1 NPI

Mariane Margurette Nicholson, SUDRC 17478

Addiction (Substance Use Disorder) Counselor · Anaheim, CA

NPI number 1548026933 Active

Practice location

710 N Anaheim Blvd
Anaheim, CA 92805-2651

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17478 (CA)

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

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About NPI 1548026933

Mariane Margurette Nicholson, SUDRC 17478's National Provider Identifier is 1548026933, issued on Feb 23, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anaheim, CA. The record was last updated on Apr 24, 2024.