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NICOLE CELESTE RICHARD SUDRC
NPI 1386306835
Counselor - Addiction (Substance Use Disorder) in Oakland, CA

Active since October 12, 2021
10429 INTERNATIONAL BLVD, OAKLAND, CA 94603(510) 777-8448 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Celeste Richard Sudrc NPPES

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

NICOLE CELESTE RICHARD SUDRC (NPI 1386306835) is an individual addiction (substance use disorder) provider in Oakland, California, licensed in California (103825) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1386306835
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE CELESTE RICHARDCredential: SUDRC
Location Address10429 INTERNATIONAL BLVDOakland, CA 94603-3221
Mailing Address10429 International BlvdOakland, CA 94603-3221 · (510) 777-8448
Phone(510) 777-8448
Sole ProprietorYes
Enumeration DateOctober 12, 2021
NPPES CertifiedOctober 12, 2021
✔ NPI 1386306835 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 · 103825
10429 INTERNATIONAL BLVD, Oakland, CA 94603
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MR. KEITH BRONSON MOORE JR. LVN
Licensed Vocational Nurse
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
MS. ANNA MARIE REGALADO
Specialist
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
KRYSTIN BREANNE YANKISH
Counselor (Addiction (Substance Use Disorder))
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
HERLINDA VIZCARRA
Licensed Vocational Nurse
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (415) 578-9489
DELICIA ANN TORRES
Licensed Vocational Nurse
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
TEERIKCA RENEE HOUSTON
Licensed Vocational Nurse
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
TAWNY DENISHA WILLIAMS RADT
Counselor (Addiction (Substance Use Disorder))
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
SHARRISE WILLIAMS
Counselor
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448

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 Nicole Richard's NPI number?

The NPI number for Nicole Richard is 1386306835. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Where is Nicole Richard located?

Nicole Richard practices at 10429 International Blvd, Oakland, CA 94603. The listed phone number is (510) 777-8448.

What is Nicole Richard'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 Nicole Richard was last updated on October 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.