Individual provider · Type 1 NPI

Nicole Victoria Asha Stack

Counselor · Puyallup, WA

NPI number 1073265989 Active

Practice location

325 E Pioneer
Puyallup, WA 98372-3265

Call (253) 697-8400 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG61247305 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073265989

Nicole Victoria Asha Stack's National Provider Identifier is 1073265989, issued on Jan 21, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Puyallup, WA. The record was last updated on Jan 21, 2022.