Individual
NICOLE HUSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
919 S 2ND AVE, WALLA WALLA, WA 99362-4114
(509) 529-6036
Mailing address
919 S 2ND AVE, WALLA WALLA, WA 99362-4114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60931174
WA
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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