Individual provider · Type 1 NPI

Nicole Enslow, HSP, SUDP

Addiction (Substance Use Disorder) Counselor · Monroe, WA

NPI number 1962878587 Active

Practice location

14090 Fryelands Blvd SE Ste 347
Monroe, WA 98272-2760

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X60553755 (WA)
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61004872 (WA)

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

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About NPI 1962878587

Nicole Enslow, HSP, SUDP's National Provider Identifier is 1962878587, issued on Aug 18, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monroe, WA. The record was last updated on Oct 15, 2019.