Individual
DANE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC, LPC, CADC
Contact information
Practice address
5400 SAINT CHARLES LOOP NE, OLYMPIA, WA 98516-9588
(503) 765-6209
Mailing address
7345 164TH AVE NE STE I145, REDMOND, WA 98052-7848
(503) 765-6209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19-10-11
OR
101YM0800X
Mental Health Counselor
C5602
OR
101YM0800X
Mental Health Counselor
Primary
LH61292084
WA
Other
Enumeration date
10/27/2015
Last updated
05/13/2024
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