Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER MARIE NICHOLAS, CADC II
Active Sole ProprietorMRS. JENNIFER MARIE NICHOLAS, CADC II is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN JOSE, California. NPI 1356612915 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAN JOSE, CA
Registration Details
- NPI Number
- 1356612915
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2012 (14.401249484341 yrs)
- Last Updated
- Jan 13, 2012
- License
-
94-1688522 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9500 MALECH ROADSAN JOSE, CA, 95138Browse CA providers · Browse ZIP 95138
- Phone
- 4082818555
- Fax
- 4082816580
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. GRISELDA CERVANTEZ | BS | 1508934969 |
| MS. AMANDA ROSE VIERRA | LAADC, MAC, ICCDP | 1558413195 |
| MR. LEE RAY GARDNER JR. | — | 1871635235 |
| ANTHONY MACK | — | 1497882997 |
| MRS. HEATHER D KAECH | — | 1194853648 |
| DONNA MARION DORAN | CADCA | 1881722676 |
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.