| Nicole Hagerty Counseling Llc | |
|
16513 Ne 30th Ct Ridgefield WA 98642-8936 | |
| (360) 562-0652 | |
| Not Available |
| Full Name | Nicole Hagerty Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16513 Ne 30th Ct, Ridgefield, Washington |
| Authorized Official Name and Position | Nicole Hagerty (OWNER) |
| Authorized Official Contact | 3609014816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Hagerty Counseling Llc 16513 Ne 30th Ct Ridgefield WA 98642-8936 Ph: (360) 901-4816 | Nicole Hagerty Counseling Llc 16513 Ne 30th Ct Ridgefield WA 98642-8936 Ph: (360) 562-0652 |
| NPI Number | 1356901094 |
|---|---|
| Provider Enumeration Date | 06/15/2019 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356901094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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