Provider Demographics
NPI:1295408540
Name:PARSON, NINA MARIE (LMHCA)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:MARIE
Last Name:PARSON
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12605 NE 187TH ST APT 2223
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-9340
Mailing Address - Country:US
Mailing Address - Phone:808-726-8709
Mailing Address - Fax:
Practice Address - Street 1:12605 NE 187TH ST APT 2223
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-9340
Practice Address - Country:US
Practice Address - Phone:808-726-8709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI21-156423106S00000X
WA615999687101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician