person
Maude Laverne Nickoloff, CDP
Addiction (Substance Use Disorder) Counselor in Yakima, Washington
NPI 1629544978

Maude Laverne Nickoloff is an Addiction (Substance Use Disorder) Counselor based in Selah, WA and is specialized in Addiction (Substance Use Disorder). Maude Laverne Nickoloff practices in Yakima, WA and has the professional credentials of CDP. The NPI Number for Maude Laverne Nickoloff is 1629544978 and holds a License No. (Washington).

The current practice location address for Maude Laverne Nickoloff is 2280 Wa-821, Yakima, WA and can be reached out via phone at 509-457-0990.

Location: 2280 Wa-821, Yakima, WA, 98942-0217
person
Provider Profile Details
NPI Number
1629544978
Provider Name
Maude Laverne Nickoloff
Credential
CDP
Provider Entity Type
Individual
Gender
Female
Address
2280 Wa-821, Yakima, WA, 98942-0217
Phone Number
509-457-0990
Fax Number
Provider Enumeration Date
10/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP0000426 05 WA
institution
Provider Business Practice Location Address Details
Address
2280 Wa-821
City
State
Zip
98901
Phone Number
509-457-0990
Fax Number
person
Provider Business Mailing Address Details
Address
2280 Wa-821
City
State
Zip
98901
Phone Number
509-457-0990
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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