Individual
NICHOLE L NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LISW-CP
Contact information
Practice address
726 PENN IVY ST, MOSES LAKE, WA 98837-2790
(509) 864-0860
Mailing address
172 OLDE TOWNE WAY UNIT 4, MYRTLE BEACH, SC 29588-1502
(509) 864-0860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
LW61470965
WA
1041C0700X
Clinical Social Worker
Primary
SW.18040CP
SC
Other
Enumeration date
06/19/2013
Last updated
07/15/2025
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