Individual
NICOLE GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHCA
Contact information
Practice address
108 S JACKSON ST, SUITE 203, SEATTLE, WA 98104-3802
(206) 395-6285
Mailing address
108 S JACKSON ST, SUITE 203, SEATTLE, WA 98104-3802
(206) 395-6285
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MC60222759
WA
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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