Individual
DR. LETICIA NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., PSY.D., LMFT
Contact information
Practice address
1004 WILSON ST SE, OLYMPIA, WA 98501-1959
(360) 754-6053
Mailing address
1004 WILSON ST SE, OLYMPIA, WA 98501-1959
(360) 754-6053
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001158
WA
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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