Individual provider · Type 1 NPI

Nicole Jacqueline Tannheimer, BFA, CDP, NCAC I

Addiction (Substance Use Disorder) Counselor · Renton, WA

NPI number 1720550486 Active

Practice location

1000 SW 7th St Ste B
Renton, WA 98057-5216

Call (206) 248-4358 Map

Fax (425) 430-9770

Mailing address

1000 SW 7th Ste. B
Renton, WA 98057

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00005781 (WA)

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

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About NPI 1720550486

Nicole Jacqueline Tannheimer, BFA, CDP, NCAC I's National Provider Identifier is 1720550486, issued on Dec 19, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Renton, WA. The record was last updated on Dec 19, 2018.