| Nicholas Blaine Nomura Lauderdale, MS | |
|
1538 E B St, Deer Park, WA 99006-5609 | |
| (509) 638-8478 | |
| (509) 606-3013 |
| Full Name | Nicholas Blaine Nomura Lauderdale |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1538 E B St, Deer Park, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982172086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CG60851735 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH61295887 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Blaine Nomura Lauderdale, MS 1538 E B St, Deer Park, WA 99006-5609 Ph: (509) 714-3067 | Nicholas Blaine Nomura Lauderdale, MS 1538 E B St, Deer Park, WA 99006-5609 Ph: (509) 638-8478 |
Mr. Jay E Mitchell, MA, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W Crawford St Ste J, Deer Park, WA 99006 Phone: 509-818-6844 | |
Joshua Adams Bruns, LPC, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 401 S Main St, Deer Park, WA 99006 Phone: 509-444-8200 | |
Christy Dawn White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 E H St Ste F, Deer Park, WA 99006 Phone: 509-276-7768 Fax: 833-281-1582 | |
Kyra Larson, Counselor Medicare: Medicare Enrolled Practice Location: 204 E F St Unit B, Deer Park, WA 99006 Phone: 509-475-8137 | |
Ronald Stanley Nelson, DOCTOR CMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4006 W Staley Rd, Deer Park, WA 99006 Phone: 509-312-9875 | |
Vashon R Coe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 E H St Ste F, Deer Park, WA 99006 Phone: 509-276-7768 | |
Megan Ashton Tapiz, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 347 S Colville Rd, Deer Park, WA 99006 Phone: 509-464-5500 Fax: 509-464-5510 |