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NPI Code Detail

MEDICARE: NICOLE EVETTE MORRIS

MEDICARE: NICOLE EVETTE MORRIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerACSW98158
2390200000XStudent in an Organized Health Care Education/Training Program
3101YM0800XMental Health CounselorACSW98158
4171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1942327812
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE EVETTE MORRIS
Provider Business Mailing Address
First Line : 1774 ZONAL AVE BLDG C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1064
Country : US
Telephone Number : 310-221-6336
Fax Number :
Provider Business Practice Location Address
First Line : 1774 ZONAL AVE BLDG C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1064
Country : US
Telephone Number : 310-221-6336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 06/27/2023

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Directions to “ NICOLE EVETTE MORRIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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