Individual
BRIAN JOSEPH NUCKOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 678-6463
Mailing address
100 N HOWARD ST # 6416, SPOKANE, WA 99201-0508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61679980
WA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/26/2024
Last updated
08/08/2025
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