Individual
NICHOLAS FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
CG61510612
WA
175T00000X
Peer Specialist
Primary
PR70090900
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2276550
—
WA
Enumeration date
02/05/2024
Last updated
07/30/2026
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