Nicholas Blaine Nomura Lauderdale, MS
Counselor, Mental Health in Deer Park, WA. Individual provider (NPI-1).
NPI number1982172086
StatusActive
Last updated in NPPESJul 26, 2026
Details
- NPI
- 1982172086
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Blaine Nomura Lauderdale
- Credential
- MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2018
- Certification date
- Jul 26, 2026
- Last updated
- Jul 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LH61295887 | WA | Yes |
Practice location
1538 E B StDeer Park, WA 99006-5609
Phone 509-638-8478 · Fax 509-606-3013
Mailing address
1538 E B StDeer Park, WA 99006-5609
Phone 509-714-3067 · Fax 509-606-3013
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All 11 Mental Health Counselor providers in Deer Park · All 203 providers in Deer Park
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