Kameron Nightingale
Case Manager/Care Coordinator in Marysville, CA. Individual provider (NPI-1).
NPI number1992415095
StatusActive
Last updated in NPPESMay 29, 2025
Details
- NPI
- 1992415095
- Entity type
- Individual (NPI-1)
- Name
- Kameron Nightingale
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2022
- Certification date
- May 29, 2025
- Last updated
- May 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
201 D St Ste RMarysville, CA 95901-5952
Phone 530-702-0088
Mailing address
1850 Club Center DrSacramento, CA 95835-1650
Phone 916-738-1224
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All 18 Case Manager/Care Coordinator providers in Marysville · All 869 providers in Marysville
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