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1154747608
JOHN NICHOLAS
LACEY, WA
NPI
1154747608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
(Licence: WA LH6149071)
Enumeration Date
2014-03-07
Last Update Date
2024-02-12
Business Address
JOHN NICHOLAS
1905 LEBANON ST SE
LACEY, WA 98503-2727
Phone number: 360-280-8374
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Mailing Address
JOHN NICHOLAS
1905 LEBANON ST SE
LACEY, WA 98503-2727
Phone number: 360-280-8374
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