NICOLE REYNOLDS SMALL

MOUNT VERNON, WA
NPI1417072356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  LW 60064972)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  ASW18384)
1041S0200X Social Worker, School
(Licence: CA  PPSC #060034254)
101Y00000X Counselor
(Licence: WA  RC00058160)
1041S0200X Social Worker, School
(Licence: WA  443673R)
Enumeration Date2007-03-20
Last Update Date2010-01-20
Business Address
-- NICOLE REYNOLDS SMALL MSW, LICSW
1005 S 3RD ST
MOUNT VERNON, WA 98273-4301
Phone number: 360-419-3612
Mailing Address
-- NICOLE REYNOLDS SMALL MSW, LICSW
1701 30TH ST
BELLINGHAM, WA 98225-7603
Phone number: 310-210-8662