Individual
NICHOLE D CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 W 6TH AVE, SPOKANE, WA 99204-3409
(509) 624-5228
Mailing address
812 S WALNUT ST, SPOKANE, WA 99204-3326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61421237
WA
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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