Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICO TANK
ActiveNICO TANK is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LA PUENTE, California. NPI 1114433927 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LA PUENTE, CA
Registration Details
- NPI Number
- 1114433927
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2017 (8.4734927617197 yrs)
- Last Updated
- Dec 18, 2017
- License
-
R1268591017 (CA)
Practice Information
- Address
-
15229 AMAR RDLA PUENTE, CA, 917442066Browse CA providers · Browse ZIP 91744
- Phone
- 6268555090
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LA PUENTE, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER MICHELLE TSANG | — | 1942344882 |
| DANIZA PAOLA ORELLANA | — | 1588791628 |
| MRS. NICKI NAKESSA GRISWOLD | — | 1760519862 |
| MR. MARIO ISRAEL MORENO | — | 1215064555 |
| MR. ALBERT RICHARD CALDERON I | — | 1912118548 |
| DINA BROWN | — | 1932390655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.