Individual
CONOR NISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 N J ST, TACOMA, WA 98403-2125
(253) 318-7073
Mailing address
1001 N J ST, TACOMA, WA 98403-2125
(253) 318-7073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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