Nicole Victoria Asha Stack - Puyallup, WA

Nicole Victoria Asha Stack

Counselor in Puyallup, Washington

NPI 1073265989

Nicole Victoria Asha Stack is a Counselor based in Puyallup, WA. Nicole Victoria Asha Stack practices in Puyallup, WA. The NPI Number for Nicole Victoria Asha Stack is 1073265989 and holds a License No. CG61247305 (Washington).

The current practice location address for Nicole Victoria Asha Stack is 325 E Pioneer, Puyallup, WA and can be reached out via phone at 253-697-8400.

Location: 325 E Pioneer, Puyallup, WA, 98372-3265

NPI Number

1073265989

Provider Name

Nicole Victoria Asha Stack

Credential

Provider Entity Type

Individual

Gender

Female

Address

325 E Pioneer, Puyallup, WA, 98372-3265

Phone Number

253-697-8400

Fax Number

Provider Enumeration Date

01/21/2022

Last Update Date

03/10/2024

Address

325 E Pioneer

City

Puyallup

State

Washington

Zip

98372-3265

Phone Number

253-697-8400

Fax Number

Address

325 E Pioneer

City

Puyallup

State

Washington

Zip

98372-3265

Phone Number

253-697-8400

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

CG61247305 (Washington)

Definition

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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Counselor

325 E Pioneer,
PUYALLUP, WA
98372-3265

407-383-0550