Search › California › 174400000X
Stacey Nijst, CADCA, CCJP
NPI 1770746539 · on the registry since 2008
Practice
- Address
- 2215 N Broadway Ste 200
Santa Ana, CA 92706 - Phone
- (714) 221-6400
- Organisation at this address
- Providence Service Corporation
Orange County Children'S Therapeutic Arts CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 57
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Sex
- Male
- Record last updated
- 2009-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California