Nicola, Dax Joseph
Nicola, Dax Joseph is an individual health care provider with primary practice located at 1960 Thompson Dr , Sedro Woolley WA 98284-5007. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Nicola, Dax Joseph can be contacted via phone (360) 856-3186.Contact Information
Primary practice address
1960 Thompson Dr
Sedro Woolley WA 98284-5007
Phone: (360) 856-3186
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00004631 | Washington |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MAC502067 | District of Columbia |
Profile Details
| NPI number | 1033667944 |
|---|---|
| LBN Legal business name | Nicola, Dax Joseph |
| Credentials | MA, CDP, MAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2016 |
| Last updated | Sep 20th, 2016 - about 8 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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