Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon La Rae Nicholles

Individual provider Counselor · NPI 1730804220

Shannon La Rae Nicholles is a Counselor in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254
Phone: (360) 993-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MC61536473 (WA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1730804220
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

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