Jardine, Nichole L

Jardine, Nichole L is an individual health care provider with primary practice located at 5991 Bell St Se , Tumwater WA 98501-5355. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jardine, Nichole L can be contacted via phone (435) 213-3583.

Contact Information

Primary practice address
5991 Bell St Se Tumwater WA 98501-5355
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW61179889 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8977595-3501 Utah

Profile Details

NPI number 1003266206
LBN Legal business name Jardine, Nichole L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2016
Last updated Aug 19th, 2022 - about 4 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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