Clinton John Nicholson, CP00002406 in Nespelem, WA

Clinton John Nicholson, CP00002406 is a Counselor - Addiction (substance Use Disorder) based in Nespelem, Washington. Clinton John Nicholson is licensed to practice in Washington (license number CP00002406) and his current practice location is 1 Colville Street, Nespelem, Washington. He can be reached at his office (for appointments etc.) via phone at (509) 634-2727.

NPI number for Clinton John Nicholson is 1457677965 and his current mailing address is Po Box 150, Nespelem, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457677965.

Contact Information

	Clinton John Nicholson, CP00002406
	1 Colville Street, Nespelem, WA 99155
	(509) 634-2727
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Clinton John Nicholson
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1 Colville Street, Nespelem, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1457677965
Provider Enumeration Date: 04/09/2010
Last Update Date: 04/09/2010

Medical Identifiers

Medical identifiers for Clinton John Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457677965	NPI	-	NPPES
1992957	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	CP00002406 (Washington)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clinton John Nicholson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Clinton John Nicholson, CP00002406 Po Box 150, Nespelem, WA 99155-0150 Ph: (509) 634-2727	Clinton John Nicholson, CP00002406 1 Colville Street, Nespelem, WA 99155 Ph: (509) 634-2727

Reviews and Comments

Counselor in Nespelem, WA

Margaret Noreen Burchard, RC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Colville Street, Nespelem, WA 99155 Phone: 509-634-2604 Fax: 509-634-2607
Jewel Harper-simon, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Colville St, Nespelem, WA 99155 Phone: 509-634-2800
Megan Bryant, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Colville St, Nespelem, WA 99155 Phone: 509-634-2610
Ronald Kramer, MRAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Colville St, Nespelem, WA 99155 Phone: 509-634-2800
Mrs. Josephine E Marcelley, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Colville Street, Nespelem, WA 99155 Phone: 509-634-2727 Fax: 509-634-2781
Bernadine Villegas, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Colville Street, Nespelem, WA 99155 Phone: 509-634-2727 Fax: 509-634-2781
Charlene Rae Sam, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Colville St, Nespelem, WA 99155 Phone: 509-634-2727

Clinton John Nicholson, CP00002406 - Counselor in Nespelem, WA