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Tanesha Nixon

Counselor, Addiction (Substance Use Disorder) in Vallejo, CA. Individual provider (NPI-1).

NPI number1003781485
StatusActive
Last updated in NPPESOct 7, 2025

Details

NPI
1003781485
Entity type
Individual (NPI-1)
Name
Tanesha Nixon
Sex
Female
Sole proprietor
No
Enumeration date
Oct 7, 2025
Certification date
Oct 7, 2025
Last updated
Oct 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)–CAYes

Practice location

627 Grant St
Vallejo, CA 94590-7228

Phone 707-553-1042

Mailing address

13 Villa Ct
Fairfield, CA 94533-2526

Phone 707-342-9672

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