Mr. NICOLAS KALANI ADDISON
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1114433539- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 325 E PIONEER, PUYALLUP, WA, 98372
- Phone
- (253) 697-8400
- Fax
- (253) 697-3730
Specialties & Taxonomies
Counselor
Counselor, Mental Health
Primary License: WA #CG60741352