Individual provider · Type 1 NPI
Nicole Ivancovich, LMHCA
Mental Health Counselor · Edmonds, WA
NPI number
1770107377
Active
Practice location
9523 232nd St SW
Edmonds, WA 98020-5028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MC61062470 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1770107377
Nicole Ivancovich, LMHCA's National Provider Identifier is 1770107377, issued on May 31, 2020. 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 31, 2020.