MR. Nickolas Casey Root, CDP
NPI #1114581261 in Chehalis, Washington
Provider Information
- NPI Number
- 1114581261
- Entity Type
- Individual
- Name
- MR. Nickolas Casey Root, CDP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDP
- Enumeration Date
- Apr 24, 2019
- Last Updated
- Apr 24, 2019
Practice Location
- Address
- 135 W MAIN ST
- City
- Chehalis
- State
- Washington
- ZIP Code
- 98532-4817
- Phone
- (360) 748-4339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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