| Mr Charles Nickell, | |
|
762 Griswold Ave, San Fernando, CA 91340-2105 | |
| (747) 500-9405 | |
| Not Available |
| Full Name | Mr Charles Nickell |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 762 Griswold Ave, San Fernando, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124871181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CI42120324 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Nickell, 386 Merrill Ave, Glendale, CA 91206-4108 Ph: () - | Mr Charles Nickell, 762 Griswold Ave, San Fernando, CA 91340-2105 Ph: (747) 500-9405 |
Daisy Rosales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 566 S Brand Blvd, San Fernando, CA 91340 Phone: 818-898-0223 | |
Carolina Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 566 S Brand Blvd, San Fernando, CA 91340 Phone: 818-898-0223 | |
Viviana Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 566 S Brand Blvd, San Fernando, CA 91340 Phone: 818-898-0223 | |
Javier Melendrez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1012 Griffith St, San Fernando, CA 91340 Phone: 818-814-4552 | |
Mr. Ruben Kim Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 762 Griswold Ave, San Fernando, CA 91340 Phone: 747-500-9415 | |
Arya Pedoeim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Maclay Ave Ste G, San Fernando, CA 91340 Phone: 818-253-4025 |