Individual provider · Type 1 NPI

Dominique S. Nettles-Wilcots

Addiction (Substance Use Disorder) Counselor · Hayward, CA

NPI number 1871875211 Active

Practice location

107 Jackson St
Hayward, CA 94544-1948

Call (510) 886-8696 Map

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 1871875211

Dominique S. Nettles-Wilcots's National Provider Identifier is 1871875211, issued on Sep 12, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hayward, CA. The record was last updated on Sep 12, 2011.