Individual
DENA E NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
16710 NE 79TH ST, SUITE 103, REDMOND, WA 98052-4466
(425) 941-1275
Mailing address
16710 NE 79TH ST, SUITE 103, REDMOND, WA 98052-4466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60163959
WA
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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