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NPI Code Detail

MEDICARE: NICOLE YINGLING A033390616

MEDICARE: NICOLE YINGLING A033390616
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) CounselorA033390616CA

General Provider Information

NPI Number : 1891066148
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE YINGLING A033390616
Provider Business Mailing Address
First Line : 13525 CIELO AZUL WAY
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-6235
Country : US
Telephone Number : 760-329-4673
Fax Number : 760-329-7311
Provider Business Practice Location Address
First Line : 13525 CIELO AZUL WAY
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-6235
Country : US
Telephone Number : 760-329-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2012
Last Update Date : 09/09/2024

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Directions to “ NICOLE YINGLING A033390616” Practice Location

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