CARRIE NICOLE DE VAULT

BELLEVUE, WA
NPI1174190581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies171M00000X Case Manager/Care Coordinator
175T00000X Peer Specialist
Enumeration Date2021-06-06
Last Update Date2021-06-06
Business Address
CARRIE NICOLE DE VAULT CPC, CPRC
3805 108TH AVE NE STE 102
BELLEVUE, WA 98004-7613
Phone number: 425-242-1713
Mailing Address
CARRIE NICOLE DE VAULT CPC, CPRC
451 4TH AVE S APT 703
KIRKLAND, WA 98033-6645
Phone number: 206-280-6312