Individual provider · Type 1 NPI

Nicole Marie Keadle

Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA

NPI number 1669847018 Active

Practice location

8030 Soquel Ave, Suite 103
Santa Cruz, CA 95062-2096

Call (831) 476-1747 Map

Fax (831) 476-1125

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-K1511041608 (CA)

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

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About NPI 1669847018

Nicole Marie Keadle's National Provider Identifier is 1669847018, issued on Dec 10, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Dec 10, 2015.