Individual
NICOLE JONAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3305 MAIN ST, SUITE 011, VANCOUVER, WA 98663-2255
(971) 361-6299
Mailing address
3305 MAIN ST, SUITE 011, VANCOUVER, WA 98663-2255
(971) 361-6299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60602511
WA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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