Individual
DAVID NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, SUDP-T
Contact information
Practice address
1426 S JACKSON ST, SEATTLE, WA 98144-2066
(206) 707-3155
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SC60979081
WA
1041C0700X
Clinical Social Worker
Primary
LW61374340
WA
Other
Enumeration date
11/08/2018
Last updated
11/03/2023
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