Individual
NACOLE MARIETTA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 NE 129TH ST STE 101, VANCOUVER, WA 98686-3270
(360) 574-9303
(360) 574-9311
Mailing address
954 CASCADE DR, LONGVIEW, WA 98632-5618
(360) 513-7304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LW61544692
WA
101YM0800X
Mental Health Counselor
LW61544692
WA
104100000X
Social Worker
Primary
LW61544692
WA
1041C0700X
Clinical Social Worker
LW61544692
WA
Other
Enumeration date
06/08/2017
Last updated
07/17/2026
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