Organization
NICHOLE L JARDINE LCSW PLLC
Active
Other names
Nicky Jardine
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE L JARDINE LCSW (OWNER)
(435) 213-3583
Entity
Organization
Contact information
Practice address
5991 BELL ST SE, TUMWATER, WA 98501-5355
(435) 232-7995
(435) 753-9521
Mailing address
5991 BELL ST SE, TUMWATER, WA 98501-5355
(435) 232-7995
(435) 753-9521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8977595-3501
UT
Other
Enumeration date
07/13/2016
Last updated
08/22/2022
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