NICOLE LEE PATINA

TUMWATER, WA
NPI1992294078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60601655)
Enumeration Date2018-05-04
Last Update Date2019-08-07
Business Address
Mrs. NICOLE LEE PATINA CDP
1550 IRVING ST SW
TUMWATER, WA 98512-6358
Phone number: 360-507-8030
Mailing Address
Mrs. NICOLE LEE PATINA CDP
918 E MEAD AVE
YAKIMA, WA 98903-3720
Phone number: 509-575-8457