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Individual

NICHOLAS THUNDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW MHP

Contact information

Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-8359
(425) 349-8348
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60510613
WA
1041C0700X
Clinical Social Worker
Primary
LW61431521
WA

Other

Enumeration date
07/15/2014
Last updated
01/18/2024
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