Individual
ELLIE NICOLE HUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1528 DAVIS AVE, ENUMCLAW, WA 98022-3725
(206) 678-3646
Mailing address
1528 DAVIS AVE, ENUMCLAW, WA 98022-3725
(206) 678-3646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO70019718
WA
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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