CLINTON JOHN NICHOLSON CP00002406
NPI 1457677965
Counselor - Addiction (Substance Use Disorder) in Nespelem, WA

Active since April 09, 2010
1 COLVILLE STREET, NESPELEM, WA 99155(509) 634-2727 Get Directions Write a Review

NPPES record last updated: April 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clinton John Nicholson Cp00002406 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON JOHN NICHOLSON CP00002406 (NPI 1457677965) is an individual addiction (substance use disorder) provider in Nespelem, Washington, licensed in Washington (CP00002406) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1457677965
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCLINTON JOHN NICHOLSONCredential: CP00002406
Location Address1 COLVILLE STREETNespelem, WA 99155
Mailing AddressPo Box 150Nespelem, WA 99155-0150 · (509) 634-2727
Sole ProprietorNo
Enumeration DateApril 9, 2010
NPI 1457677965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP00002406
1 COLVILLE STREET, Nespelem, WA 99155

Other Identifiers 1

Medicaid1992957WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medical Technician, Basic
1 COLVILLE STREET
NESPELEM, WA 99155
Counselor (Mental Health)
1 COLVILLE STREET
NESPELEM, WA 99155
Emergency Medical Technician, Basic
1 COLVILLE STREET
NESPELEM, WA 99155
Emergency Medical Technician, Basic
1 COLVILLE STREET
NESPELEM, WA 99155
Emergency Medical Technician, Intermediate
1 COLVILLE STREET
NESPELEM, WA 99155
Clinic/Center (Mental Health (Including Community Mental Health Center))
1 COLVILLE STREET
NESPELEM, WA 99155
Emergency Medical Technician, Basic
1 COLVILLE STREET
NESPELEM, WA 99155
Counselor (Addiction (Substance Use Disorder))
1 COLVILLE STREET
NESPELEM, WA 99155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Nicholson's NPI number?

The NPI number for Clinton Nicholson is 1457677965. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Clinton Nicholson located?

Clinton Nicholson practices at 1 Colville Street, Nespelem, WA 99155. The listed phone number is (509) 634-2727.

What is Clinton Nicholson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Clinton Nicholson was last updated on April 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.