NATHAN MICKLEY

VANCOUVER, WA
NPI1669907895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-04-25
Last Update Date2020-10-01
Business Address
NATHAN MICKLEY
317 E 39TH ST
VANCOUVER, WA 98663-2233
Phone number: 360-546-1722
Mailing Address
NATHAN MICKLEY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: