| Doctor Name: | NICK PISTONE |
| NPI Number: | 1053449413 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CADC-II |
| License Number: | A8533505 |
| Business Practice Address: | 340 Rancheros Dr Suite 166 San Marcos, CA - 920692900 |
| Business Phone Number: | 7607443672 |
| Business Fax Number: | 7607446182 |
| Mailing Address: | 340 Rancheros Dr, Suite 166 SAN MARCOS |
| State: | CA |
| Postal Code: | 920692900 |
| Phone Number: | 7607443672 |
| Fax Number: | 7607446182 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 08/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | A8533505 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |