Most Relevant Information
Provider Data
| NPI Number: | 1003332099 |
| Provider Name: | NICOLETTE NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/21/2017 |
| Last Updated: | 08/21/2017 |
Provider Practice Location
2501 HARRISON ST
OAKLAND
CA
946123811
Practice Location Phone/Fax
| Phone: | 5104443344 |
| Fax: |
Provider Mailing Location
PO BOX 2183
BERKELEY
CA
947020183
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |