Nicholus Gentry
Individual provider Active NPI Mental Health Counselor · Selah, WA
NPI 1669697223 · NPPES record last updated Jun 10, 2008
Key facts
- NPI
- 1669697223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1790 Selah Loop Road #23
Selah, WA 98942 - Phone
- (509) 452-7418
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1790 Selah Loop Road #23
Selah, WA 98942
Mailing address
1790 Selah Loop Road #23
Selah, WA 98942
Phone (509) 452-7418
Other names
- Nick Gentry
Other providers in Selah, WA
- Frederick J Thysell MD Inc PS
- Angela Fuentes-Valentin
- Eliza Marie Gallardo
- Nathanael Michael Garent
- Tony Garent
- Tami Larae Gibson X
- Global Performance Solutions Physical Therapy Inc
- Shelby Gossett
- Dale K. Graf
- Andrea R Green
All providers in Selah, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.