Individual provider · Type 1 NPI

Stacey Max Nijst, CADCA, CCJP

Specialist · Santa Ana, CA

NPI number 1770746539 Active

Practice location

2215 N Broadway Ste 200
Santa Ana, CA 92706-2663

Call (714) 221-6400 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1770746539

Stacey Max Nijst, CADCA, CCJP's National Provider Identifier is 1770746539, issued on Jul 2, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Santa Ana, CA. The record was last updated on Dec 29, 2009.