Enslow, Nicole
Enslow, Nicole is an individual health care provider with primary practice located at 14090 Fryelands Blvd Se Ste 347 , Monroe WA 98272-2760. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Enslow, Nicole can be contacted via phone (360) 805-3122.Contact Information
Primary practice address
14090 Fryelands Blvd Se Ste 347
Monroe WA 98272-2760
Phone: (360) 805-3122
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 60553755 | Washington |
Other Service Providers / Peer Specialist | 175T00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP61004872 | Washington |
Profile Details
NPI number | 1962878587 |
---|---|
LBN Legal business name | Enslow, Nicole |
Credentials | HSP, SUDP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2015 |
Last updated | Oct 15th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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