Individual provider · Type 1 NPI

Nichole Monique McIntire

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

NPI number 1689239600 Active

Practice location

235 W 9th St
San Pedro, CA 90731-3711

Fax (310) 521-9241

Mailing address

1621 W 226th St Apt 4
Torrance, CA 90501-6627

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 1689239600

Nichole Monique McIntire's National Provider Identifier is 1689239600, issued on May 6, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on May 6, 2019.