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Mr. Nicolas Kalani Addison
Mental Health Counselor in Puyallup, Washington
NPI 1114433539

Nicolas Kalani Addison is a Mental Health Counselor based in Puyallup, WA and is specialized in Mental Health. Nicolas Kalani Addison practices in Puyallup, WA. The NPI Number for Nicolas Kalani Addison is 1114433539 and holds a License No. (Washington).

The current practice location address for Nicolas Kalani Addison is 325 E Pioneer, Puyallup, WA and can be reached out via phone at 253-697-8400 and via fax at 253-697-3730.

Location: 325 E Pioneer, Puyallup, WA, 98372-3265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114433539
Provider Name
Nicolas Kalani Addison
Credential
Provider Entity Type
Individual
Gender
Male
Address
325 E Pioneer, Puyallup, WA, 98372-3265
Phone Number
253-697-8400
Fax Number
253-697-3730
Provider Enumeration Date
12/21/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 E Pioneer
City
Puyallup
State
Washington
Zip
98372
Phone Number
253-697-8400
Fax Number
253-697-3730
person
Provider Business Mailing Address Details
Address
325 E Pioneer
City
Puyallup
State
Washington
Zip
98372
Phone Number
253-697-8400
Fax Number
253-697-3730
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60741352 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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