Individual
DR. NICHOLE KRISTINA AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LMHC
Contact information
Practice address
6103 MOUNT TACOMA DR SW, LAKEWOOD, WA 98499-2727
(253) 215-7070
(253) 584-1923
Mailing address
6103 MOUNT TACOMA DR SW, LAKEWOOD, WA 98499-2727
(253) 215-7070
(253) 584-1923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/03/2013
Last updated
07/10/2024
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