Kevin Fitzgerald Nichols, - Counselor in San Diego, CA

Kevin Fitzgerald Nichols, is a Counselor - Addiction (substance Use Disorder) based in San Diego, California. Kevin Fitzgerald Nichols is licensed to practice in * (Not Available) (license number ) and his current practice location is 3340 Kemper St Ste 105, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (619) 523-8121.

NPI number for Kevin Fitzgerald Nichols is 1144885898 and his current mailing address is 3340 Kemper St Ste 105, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144885898.

Contact Information

Kevin Fitzgerald Nichols,
3340 Kemper St Ste 105,
San Diego, CA 92110-4907
(619) 523-8121
(619) 523-8742

Map and Direction


Healthcare Provider's Profile

Full NameKevin Fitzgerald Nichols
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location3340 Kemper St Ste 105, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144885898
  • Provider Enumeration Date: 05/08/2019
  • Last Update Date: 05/08/2019

Medical Identifiers

Medical identifiers for Kevin Fitzgerald Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144885898NPI-NPPES
373781MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Fitzgerald Nichols is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin Fitzgerald Nichols,
3340 Kemper St Ste 105,
San Diego, CA 92110-4907

Ph: (619) 523-8121
Kevin Fitzgerald Nichols,
3340 Kemper St Ste 105,
San Diego, CA 92110-4907

Ph: (619) 523-8121

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