Individual provider · Type 1 NPI

Nita Jean Vincent

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

NPI number 1891472809 Active

Practice location

1477 Lincoln Ave
San Rafael, CA 94901-2028

Call (415) 459-2395 Map

Fax (415) 459-1292

Mailing address

135 Paul Dr
San Rafael, CA 94903-2023

Other practice locations

  • 1477 Lincoln Ave, San Rafael, CA 94901-2028 · (415) 459-2395

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X210002FN (CA)

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

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About NPI 1891472809

Nita Jean Vincent's National Provider Identifier is 1891472809, issued on Jun 30, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Jun 30, 2023.