Individual provider · Type 1 NPI

Nicole Roxanne Davidson, AGENCY AFFILIATED

Counselor · Moses Lake, WA

NPI number 1821795279 Active

Practice location

840 E Plum St
Moses Lake, WA 98837-1874

Call (509) 765-9239 Map

Fax (509) 765-4124

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1821795279

Nicole Roxanne Davidson, AGENCY AFFILIATED's National Provider Identifier is 1821795279, issued on Feb 15, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Moses Lake, WA. The record was last updated on Feb 15, 2023.