| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DARYL GLENN NICHOLS | 1881151744 | 2023-05-18 |
Daryl Glenn Nichols is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881151744. Registration indicates Daryl Glenn Nichols is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. Daryl Glenn Nichols Jr. |
| Practice Office Address | 1396 W HERNDON AVE FRESNO, CA US |
| Practice Office Telephone | 5592560100 |
| Mailing Address | 1396 W HERNDON AVE FRESNO, CA 937117126 US |
| Business Telephone | 5592560100 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1925 E Dakota Ave | Fresno, CA 937264821 | 5595260100 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 116603
CA |