CHRISTOPHER BURL NICHOLS RADT
NPI 1629842166
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA
Active since November 14, 2023
About Christopher Burl Nichols Radt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTOPHER BURL NICHOLS RADT (NPI 1629842166) is an individual addiction (substance use disorder) provider in San Rafael, California and active in the NPI registry since November 2023.
NPPES Registry Identity
NPI1629842166
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHRISTOPHER BURL NICHOLSCredential: RADT
Location Address1601 2ND STSan Rafael, CA 94901-2712
Mailing Address1601 2nd StSan Rafael, CA 94901-2712 · (415) 456-6655
Phone(415) 456-6655
Sole ProprietorYes
Enumeration DateNovember 14, 2023
NPPES CertifiedNovember 14, 2023
✔ NPI 1629842166 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
1601 2ND ST, San Rafael, CA 94901
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.
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST, SUITE 104
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629842166, enumerated as an "individual" on November 14, 2023.
The provider is located at 1601 2ND ST SAN RAFAEL, CA 94901 and the phone number is (415) 456-6655.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
