Provider Demographics
NPI:1215367248
Name:TUASON, NICOLETTE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:NICOLETTE
Middle Name:
Last Name:TUASON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:NICOLETTE
Other - Middle Name:
Other - Last Name:DICHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:734 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-6502
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:734 10TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-6502
Practice Address - Country:US
Practice Address - Phone:619-239-4663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2023-03-20
Deactivation Date:2018-06-27
Deactivation Code:
Reactivation Date:2023-03-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health