Individual provider · Type 1 NPI

Nickolas Casey Root, CDP

Addiction (Substance Use Disorder) Counselor · Chehalis, WA

NPI number 1114581261 Active

Practice location

135 W Main St
Chehalis, WA 98532-4817

Call (360) 748-4339 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60831015 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114581261

Nickolas Casey Root, CDP's National Provider Identifier is 1114581261, issued on Apr 24, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chehalis, WA. The record was last updated on Apr 24, 2019.