Clinton John Nicholson, CP00002406
NPI #1457677965 in Nespelem, Washington
Provider Information
- NPI Number
- 1457677965
- Entity Type
- Individual
- Name
- Clinton John Nicholson, CP00002406
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CP00002406
- Enumeration Date
- Apr 9, 2010
- Last Updated
- Apr 9, 2010
Practice Location
- Address
- 1 COLVILLE STREET
- City
- Nespelem
- State
- Washington
- ZIP Code
- 99155
- Phone
- (509) 634-2727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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