Individual
NICOLE LORRAINE DEL RIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO60778011
Contact information
Practice address
1960 THOMPSON DR, SEDRO WOOLLEY, WA 98284-5007
(360) 856-3186
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
(360) 856-3186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60778011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/20/2018
Last updated
08/20/2018
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