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Organization
THE SELF-INCLUSIVE COLLECTIVE, PLLC
Active
Organization
THE SELF-INCLUSIVE COLLECTIVE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MIMS LMHC, LPC (MEMBER, LICENSED COUNSELOR)
(571) 268-1466
Entity
Organization
Contact information
Practice address
4018 CALIFORNIA AVE SW APT 5, SEATTLE, WA 98116-3782
(206) 569-4509
Mailing address
100 N HOWARD ST STE 4424, SPOKANE, WA 99201-0508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/03/2023
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