Desirae Layne Nicks, CG60864058
Desirae Layne Nicks, CG60864058 is a Mental Health Counselor in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2018
Practice location Address checks out
3901 S Fife St Ste 301Tacoma, WA 98409-7309
Phone: (253) 625-4422
Fax: (253) 584-1496
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence CG60864058 (WA) |
|---|
Record details
| NPI number | 1639641590 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CG60864058 |
| Sole proprietor | Yes |
| NPI enumerated | December 17, 2018 |
| Last updated in NPPES | December 17, 2018 |
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