Doctor Name: | DR. NICHOLE ANDREA FLORES |
NPI Number: | 1841622388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PYS.D. |
License Number: | PSB37701 |
Business Practice Address: | 449 S Madera Ave Kerman, CA - 936301537 |
Business Phone Number: | 5593642970 |
Business Fax Number: | |
Mailing Address: | 5530 W Stuart Ave, FRESNO |
State: | CA |
Postal Code: | 937223166 |
Phone Number: | 5595673911 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2013 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PSB37701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |