person
Leah Shalona Niccolocci, LMHC,SUDP
Mental Health Counselor in Lacey, Washington
NPI 1184904500

Leah Shalona Niccolocci is a Mental Health Counselor based in Lacey, WA and is specialized in Mental Health. Leah Shalona Niccolocci practices in Lacey, WA and has the professional credentials of LMHC,SUDP. The NPI Number for Leah Shalona Niccolocci is 1184904500 and holds a License No. CP60097351 (Washington).

The current practice location address for Leah Shalona Niccolocci is 8929 Corona St Ne, Lacey, WA and can be reached out via phone at 360-463-2553.

Location: 8929 Corona St Ne, Lacey, WA, 98516-5201
person
Provider Profile Details
NPI Number
1184904500
Provider Name
Leah Shalona Niccolocci
Credential
LMHC,SUDP
Provider Entity Type
Individual
Gender
Female
Address
8929 Corona St Ne, Lacey, WA, 98516-5201
Phone Number
360-463-2553
Fax Number
Provider Enumeration Date
08/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8929 Corona St Ne
City
State
Zip
98516-5201
Phone Number
360-463-2553
Fax Number
person
Provider Business Mailing Address Details
Address
8929 Corona St Ne
City
State
Zip
98516-5201
Phone Number
360-463-2553
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LH60876786 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CP60097351 (Washington)
Definition
Definition to come...
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