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MR. CHARLES NICKELL
NPI 1124871181
Counselor - Addiction (Substance Use Disorder) in San Fernando, CA

Active since April 09, 2024
762 GRISWOLD AVE, SAN FERNANDO, CA 91340(747) 500-9405 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Nickell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES NICKELL (NPI 1124871181) is an individual addiction (substance use disorder) provider in San Fernando, California, licensed in California (CI42120324) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1124871181
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. CHARLES NICKELL
Location Address762 GRISWOLD AVESan Fernando, CA 91340-2105
Mailing Address386 Merrill AveGlendale, CA 91206-4108
Phone(747) 500-9405
Sole ProprietorYes
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1124871181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · CI42120324
762 GRISWOLD AVE, San Fernando, CA 91340
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DOLORES BONNIE GUERRERO-REYNALDO LVN
Licensed Vocational Nurse
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
RICHARD KEITH JOHN JR.
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
CAINE HERRERA
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
SAN FERNANDO RECOVERY CENTER
Substance Abuse Rehabilitation Facility
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARTHA VANESSA ALMENDAREZ
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
RYAN CURIEL
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARINA NICOLETI
Student in an Organized Health Care Education/Training Program
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
ROGELIO ALVAREZ
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Nickell's NPI number?

The NPI number for Charles Nickell is 1124871181. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Charles Nickell located?

Charles Nickell practices at 762 Griswold Ave, San Fernando, CA 91340. The listed phone number is (747) 500-9405.

What is Charles Nickell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charles Nickell was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.