| Nicole Ivancovich Therapy | |
|
320 Dayton St Ste 202 Edmonds WA 98020-3590 | |
| (425) 214-4957 | |
| Not Available |
| Full Name | Nicole Ivancovich Therapy |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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