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NPI Code Detail

MEDICARE: NIKOL MARGA ERWIN 101YA0400X

MEDICARE: NIKOL MARGA ERWIN 101YA0400X
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1871301135
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKOL MARGA ERWIN 101YA0400X
Provider Business Mailing Address
First Line : 1249 SCOTT ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-4008
Country : US
Telephone Number : 415-777-0333
Fax Number :
Provider Business Practice Location Address
First Line : 1249 SCOTT ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-4008
Country : US
Telephone Number : 415-922-9104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2024
Last Update Date : 12/04/2025

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