Organization · Type 2 NPI
Nicole Ivancovich Therapy
Mental Health Counselor · Edmonds, WA
NPI number
1245923242
Active
Practice location
320 Dayton St Ste 202
Edmonds, WA 98020-3590
Mailing address
9523 232nd St SW
Edmonds, WA 98020-5028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1245923242
Nicole Ivancovich Therapy's National Provider Identifier is 1245923242, issued on May 26, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmonds, WA. The record was last updated on May 26, 2023.