Individual
NICOLETTE VANDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W SPRAGUE AVE, SPOKANE, WA 99201-3627
(206) 249-1669
Mailing address
210 W SPRAGUE AVE, SPOKANE, WA 99201-3816
(509) 747-8224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
02/09/2026
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