Individual provider · Type 1 NPI

Maude Laverne Nickoloff, CDP

Addiction (Substance Use Disorder) Counselor · Yakima, WA

NPI number 1629544978 Active

Practice location

2280 WA-821
Yakima, WA 98901

Call (509) 457-0990 Map

Mailing address

PO Box 217
Selah, WA 98942-0217

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1629544978

Maude Laverne Nickoloff, CDP's National Provider Identifier is 1629544978, issued on Oct 15, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yakima, WA. The record was last updated on Oct 15, 2018.