Individual
ANDREA NOLLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(425) 259-3191
Mailing address
PO BOX 839, EVERETT, WA 98206-0839
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60935127
WA
101YM0800X
Mental Health Counselor
LH60745886
WA
Other
Enumeration date
08/20/2012
Last updated
11/11/2024
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