| Nico Tank, | |
|
15229 Amar Rd, La Puente, CA 91744-2066 | |
| (626) 855-5090 | |
| Not Available |
| Full Name | Nico Tank |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 15229 Amar Rd, La Puente, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114433927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1268591017 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nico Tank, 4019 3/4 Muscatel Ave, Rosemead, CA 91770-1349 Ph: (626) 615-3568 | Nico Tank, 15229 Amar Rd, La Puente, CA 91744-2066 Ph: (626) 855-5090 |
Ms. Liliana Munoz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-961-8971 | |
Annielynn Dayao Ibale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-961-8971 | |
Analecia Janet Guthrie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15743 Hayland St, La Puente, CA 91744 Phone: 865-237-5951 | |
Diana T. Mendez, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 160 S. 7th Ave, La Puente, CA 91744 Phone: 626-961-8971 | |
Mr. Mario Israel Moreno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15229 Amar Rd, La Puente, CA 91744 Phone: 626-855-5090 Fax: 626-961-1810 | |
Mrs. Elsie Marie Pride, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15229 Amar Rd, La Puente, CA 91744 Phone: 626-855-5090 |