Individual provider · Type 1 NPI

Amanda Nicholson

Mental Health Counselor · Lakewood, WA

NPI number 1295209302 Active

Practice location

6103 Mount Tacoma Dr SW
Lakewood, WA 98499-2727

Call (253) 833-7444 Map

Mailing address

325 W Gowe St
Kent, WA 98032-5892

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295209302

Amanda Nicholson's National Provider Identifier is 1295209302, issued on Jan 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, WA. The record was last updated on Jan 11, 2019.