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Individual
NICOLE ELIZABETH LANDIS
Active
Individual
NICOLE ELIZABETH LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
002693-01
NY
101Y00000X
Counselor
CG60306395
WA
106H00000X
Marriage & Family Therapist
Primary
T1706
OR
Other
Enumeration date
03/28/2016
Last updated
09/04/2026
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