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Individual

CASSANDRA NICOLE NOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
104 S FREYA ST, BLUE FLAG BUILDING, SUITE 206, SPOKANE, WA 99202-4889
(208) 639-9148
Mailing address
17823 W SHELTERED CT, HAUSER, ID 83854-7818
(209) 620-9998

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTA.MG.61298775
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MFTA.MG.61298775
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
05/27/2022
Last updated
10/30/2023
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