Provider Demographics
NPI:1033466917
Name:EUL, NICOLE M (LPC, SAC, LMHC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:M
Last Name:EUL
Suffix:
Gender:F
Credentials:LPC, SAC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N HOWARD ST STE W
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0508
Mailing Address - Country:US
Mailing Address - Phone:256-392-9128
Mailing Address - Fax:206-474-3038
Practice Address - Street 1:933 STURGUS AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2735
Practice Address - Country:US
Practice Address - Phone:256-392-9128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15859-131101YA0400X
WI1686-226101YP2500X
WALH61219035101YM0800X
WI16675-130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH61219035OtherSTATE OF WASHINGTON DEPARTMENT OF HEALTH
WI5650-125OtherSTATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
ORC8954OtherBOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS