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Organization
NICOLE IVANCOVICH THERAPY
Active
Organization
NICOLE IVANCOVICH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE IVANCOVICH MA (OWNER)
(206) 218-9395
Entity
Organization
Contact information
Practice address
320 DAYTON ST STE 202, EDMONDS, WA 98020-3590
(425) 214-4957
Mailing address
9523 232ND ST SW, EDMONDS, WA 98020-5028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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