Individual
MRS. NICOLE RAE MIZUMORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6203 61ST AVE SE, SNOHOMISH, WA 98290-5174
(949) 751-7312
Mailing address
6203 61ST AVE SE, SNOHOMISH, WA 98290-5174
(949) 751-7312
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
83793
CA
106H00000X
Marriage & Family Therapist
Primary
LF60659512
WA
Other
Enumeration date
01/06/2015
Last updated
02/19/2026
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