Individual
ELIZABETH NIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
(360) 856-3118
Mailing address
PO BOX 925, COUPEVILLE, WA 98239-0925
(360) 391-3330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006075
WA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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