Individual
NICOLE ALEXANDRIA NOMIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3285 FERGUSON ST SW, TUMWATER, WA 98512
(360) 252-2989
Mailing address
5227 55TH AVE SE, LACEY, WA 98503-5017
(310) 357-8023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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