Individual
AUTUMN NICOLE VIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 E MAIN STE 103, PUYALLUP, WA 98372-6768
(206) 651-4653
(253) 390-3033
Mailing address
1011 E MAIN STE 103, PUYALLUP, WA 98372-6768
(206) 651-4653
(253) 390-3033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Enumeration date
11/20/2025
Last updated
05/08/2026
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