Provider Demographics
NPI:1467345827
Name:FRAIJO-GUILLEN, NILSA CORAL
Entity type:Individual
Prefix:
First Name:NILSA
Middle Name:CORAL
Last Name:FRAIJO-GUILLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 GEORGE WASHINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4420
Mailing Address - Country:US
Mailing Address - Phone:509-416-6106
Mailing Address - Fax:509-591-4296
Practice Address - Street 1:507 GEORGE WASHINGTON WAY
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4420
Practice Address - Country:US
Practice Address - Phone:509-416-6106
Practice Address - Fax:509-591-4296
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health