Organization
LDS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICKIE WOOD LMHC, LMFT (COUNSELING MANAGER)
(425) 228-0074
Entity
Organization
Contact information
Practice address
220 S 3RD PL, RENTON, WA 98057-2405
(425) 228-0074
(428) 226-2831
Mailing address
220 S 3RD PL, RENTON, WA 98057-2405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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