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Individual

NICHOLAS DEAN VINCENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSWAIC, SUDPT

Contact information

Practice address
600 LAKEWAY DR, BELLINGHAM, WA 98225-5236
(360) 676-6749
Mailing address
600 LAKEWAY DR, BELLINGHAM, WA 98225-5236
(360) 676-6749

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
61202589
WA
104100000X
Social Worker
Primary
SWIA.SC.70010315
WA

Other

Enumeration date
09/21/2021
Last updated
04/02/2026
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