Individual
HOLLY CLAIRE NOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP, MED
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP.CP.61350242
WA
Other
Enumeration date
01/07/2021
Last updated
10/10/2022
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