Individual provider · Type 1 NPI
Nicholas Blaine Nomura Lauderdale, MS
Mental Health Counselor · Deer Park, WA
NPI number
1982172086
Active
Practice location
1538 E B St
Deer Park, WA 99006-5609
Fax (509) 606-3013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH61295887 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1982172086
Nicholas Blaine Nomura Lauderdale, MS's National Provider Identifier is 1982172086, issued on Nov 6, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Deer Park, WA. The record was last updated on Jul 26, 2026.