Nicole Ivancovich Therapy | |
320 Dayton St Ste 202 Edmonds WA 98020-3590 | |
(425) 214-4957 | |
Not Available |
Full Name | Nicole Ivancovich Therapy |
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Speciality | Counselor - Mental Health |
Location | 320 Dayton St Ste 202, Edmonds, Washington |
Authorized Official Name and Position | Nicole Ivancovich (OWNER) |
Authorized Official Contact | 2062189395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nicole Ivancovich Therapy 9523 232nd St Sw Edmonds WA 98020-5028 Ph: () - | Nicole Ivancovich Therapy 320 Dayton St Ste 202 Edmonds WA 98020-3590 Ph: (425) 214-4957 |
NPI Number | 1245923242 |
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Provider Enumeration Date | 05/26/2023 |
Last Update Date | 05/26/2023 |
Certification Date | 05/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245923242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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