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Individual

DR. NICHOLE KRISTINA AYRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LMHC

Contact information

Practice address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
(253) 661-8631
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
(253) 661-8631

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60619472
WA
101YM0800X
Mental Health Counselor
MHC.LH.60619472
WA
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
LW60693161
WA
104100000X
Social Worker
Primary
SWI.LW.60693161
WA
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2120661
WA
Enumeration date
08/03/2013
Last updated
07/28/2026
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