Individual
ALLAN MOKUA NYARIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
SC61294753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100966
—
WA
Enumeration date
03/26/2019
Last updated
06/24/2024
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