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Nicole Monique Evanson
Peer Specialist in Shoreline, Washington
NPI 1073086245

Nicole Monique Evanson is a Peer Specialist based in Shoreline, WA. Nicole Monique Evanson practices in Shoreline, WA. The NPI Number for Nicole Monique Evanson is 1073086245 and holds a License No. (Washington).

The current practice location address for Nicole Monique Evanson is 17018 15Th Ave Ne, Shoreline, WA and can be reached out via phone at 206-362-7282.

Location: 17018 15Th Ave Ne, Shoreline, WA, 98155-5137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073086245
Provider Name
Nicole Monique Evanson
Credential
Provider Entity Type
Individual
Gender
Female
Address
17018 15Th Ave Ne, Shoreline, WA, 98155-5137
Phone Number
206-362-7282
Fax Number
Provider Enumeration Date
01/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17018 15Th Ave Ne
City
Shoreline
State
Washington
Zip
98155-5137
Phone Number
206-362-7282
Fax Number
person
Provider Business Mailing Address Details
Address
17018 15Th Ave Ne
City
Shoreline
State
Washington
Zip
98155-5137
Phone Number
206-362-7282
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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