Nichole Le Ann Martin, CAADAC-CAS
Counselor, Addiction (Substance Use Disorder) in Sacramento, CA. Individual provider (NPI-1).
NPI number1952775868
StatusActive
Last updated in NPPESDec 7, 2017
Details
- NPI
- 1952775868
- Entity type
- Individual (NPI-1)
- Name
- Nichole Le Ann Martin
- Credential
- CAADAC-CAS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2015
- Last updated
- Dec 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | C6211214 | CA | Yes |
Practice location
2100 Capitol AveSacramento, CA 95816-5721
Phone 916-442-4985 · Fax 916-442-1029
Mailing address
2100 Capitol AveSacramento, CA 95816-5721
Phone 916-442-4985 · Fax 916-442-1029
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