Individual provider · Type 1 NPI

Nicole Renee Scruggs

Mental Health Counselor · Oakland, CA

NPI number 1962753566 Active

Practice location

111 Myrtle St, Suite 102
Oakland, CA 94607-2525

Mailing address

130 Edgehill Ct
Vallejo, CA 94589-2424

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962753566

Nicole Renee Scruggs's National Provider Identifier is 1962753566, issued on Sep 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Nov 21, 2013.