Individual provider · Type 1 NPI

Clinton John Nicholson, CP00002406

Addiction (Substance Use Disorder) Counselor · Nespelem, WA

NPI number 1457677965 Active

Practice location

1 Colville Street
Nespelem, WA 99155

Mailing address

PO Box 150
Nespelem, WA 99155-0150

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00002406 (WA)

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

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About NPI 1457677965

Clinton John Nicholson, CP00002406's National Provider Identifier is 1457677965, issued on Apr 9, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nespelem, WA. The record was last updated on Apr 9, 2010.