NPI Profile for NICOLE TOBIASON in BIG BEAR LAKE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Community Health Worker |
172V00000X | |||
Other Service Providers |
175T00000X |
| NPI Number | 1235946146 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/13/2024 | |
| Last updated | 01/12/2026 - About 5 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NICOLE TOBIASON
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