Individual
KENNETH NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP-T
Contact information
Practice address
203 4TH AVE E STE 301, OLYMPIA, WA 98501-1188
(801) 473-8038
Mailing address
1408 SUNNYVALE CT NW, OLYMPIA, WA 98502-4058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61167773
WA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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