person
Nicholas Blaine Nomura Lauderdale, MS
Mental Health Counselor in Spokane, Washington
NPI 1982172086

Nicholas Blaine Nomura Lauderdale is a Mental Health Counselor based in Deer Park, WA and is specialized in Mental Health. Nicholas Blaine Nomura Lauderdale practices in Spokane, WA and has the professional credentials of MS. The NPI Number for Nicholas Blaine Nomura Lauderdale is 1982172086 and holds a License No. CG60851735 (Washington).

The current practice location address for Nicholas Blaine Nomura Lauderdale is 5901 N Lidgerwood St, Suite 115, Spokane, WA and can be reached out via phone at 509-838-4651.

Location: 5901 N Lidgerwood St, Suite 115, Spokane, WA, 99006-5609
person
Provider Profile Details
NPI Number
1982172086
Provider Name
Nicholas Blaine Nomura Lauderdale
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
5901 N Lidgerwood St, Suite 115, Spokane, WA, 99006-5609
Phone Number
509-838-4651
Fax Number
Provider Enumeration Date
11/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5901 N Lidgerwood St, Suite 115
City
State
Zip
99208-1510
Phone Number
509-838-4651
Fax Number
person
Provider Business Mailing Address Details
Address
5901 N Lidgerwood St, Suite 115
City
State
Zip
99208-1510
Phone Number
509-838-4651
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LH1295887 (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
License No.
CG60851735 (Washington)
Definition
Definition to come...
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