Individual
ROBIN LEE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
18490 SUQUAMISH WAY NE UNIT 107, SUQUAMISH, WA 98392-9533
(360) 394-8558
(360) 598-1724
Mailing address
PO BOX 1228, SUQUAMISH, WA 98392-1228
(360) 394-8558
(360) 598-1724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP600027730
WA
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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