Nicole Reynolds Small in Mount Vernon - Counselor
Nicole Reynolds Small - NPI 1417072356
Nicole Reynolds Small is a Counselor in Mount Vernon, Washington. Nicole Reynolds Small practices all healthcare services and medical treatments related to Counselor. The NPI Number for Nicole Reynolds Small is 1417072356. The last update date is 2010-01-20.
Nicole Reynolds Small's current location address is 1005 S 3rd St, Mount Vernon, Washington. You can contact this provider via phone number 3604193612 and fax number 3604193605. The mailing address for Nicole Reynolds Small is 1005 S 3rd St, Mount Vernon, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Reynolds Small |
|---|---|
| Address | 1005 S 3rd St, Mount Vernon, Washington |
| Phone Number | 3604193612 |
| Fax Number | 3604193605 |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1417072356 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2010-01-20 |
Provider Mailing Address Detail
| Address | 1005 S 3rd St |
|---|---|
| City | Mount Vernon |
| State | Washington (WA) |
| Post Code | 982734301 |
| Phone Number | 3604193612 |
| Fax Number | 3604193605 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | RC00058160 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSIX593 | CA | DMH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Nicole Reynolds Small?
The Nicole Reynolds Small has been issued the NPI (National Provider Identifier) 1417072356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Nicole Reynolds Small's facilities are situated?
The facilities of Nicole Reynolds Small are physically located at the following address: 1005 S 3Rd St, Mount Vernon, WA, 982734301.
What is Nicole Reynolds Small's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nicole Reynolds Small is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417072356 to Nicole Reynolds Small?
The Centers for Medicare & Medicaid Services assigned the 1417072356 to Nicole Reynolds Small on 2007-03-20.
When was the information related to Nicole Reynolds Small most recently updated or refreshed?
The details pertaining to the Nicole Reynolds Small, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-20.
NPI Number: 1063415297
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