Individual
DAVID LEROY NICHOLSON-KLINGERMAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC, LMHC, CMHS
Contact information
Practice address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
(360) 642-2096
Mailing address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60571247
WA
101YP2500X
Professional Counselor
Primary
C3354
OR
Other
Enumeration date
12/05/2006
Last updated
06/08/2021
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