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1477160380
RYAN NICHOLS M.DIV., SUDP
BELLEVUE, WA
NPI
1477160380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
RYAN NICHOLS M.DIV., SUDP SUDP
1800 112TH AVE NE
BELLEVUE, WA 98004-2993
Phone number: 425-698-1515
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Mailing Address
RYAN NICHOLS M.DIV., SUDP SUDP
1800 112TH AVE NE
BELLEVUE, WA 98004-2993
Phone number:
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