Most Relevant Information
Provider Data
| NPI Number: | 1003323395 |
| Provider Name: | NICOLE LYNN MOREIRA MA, AAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2018 |
| Last Updated: | 05/08/2018 |
Provider Practice Location
118 E 8TH ST
PORT ANGELES
WA
983626129
Practice Location Phone/Fax
| Phone: | 3604570431 |
| Fax: | 3604570493 |
Provider Mailing Location
118 E 8TH ST
PORT ANGELES
WA
983626129
Provider Mailing Phone/Fax
| Phone: | 3604570431 |
| Fax: | 3604570493 |