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Organization
FAMILY RENEWAL
Active
Organization
FAMILY RENEWAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LAURENT LMHC (OWNER)
(425) 647-5775
Entity
Organization
Contact information
Practice address
2015 NE 96TH CT, VANCOUVER, WA 98664-2980
(425) 647-5775
(360) 340-9353
Mailing address
2015 NE 96TH CT, VANCOUVER, WA 98664-2980
(425) 647-5775
(360) 340-9353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60550441
WA
Other
Enumeration date
07/16/2013
Last updated
10/12/2021
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