# JANINE GUNDEL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164024899
- **Authorized official:** JANINE GUNDEL NP (OWNER)
- **Authorized official phone:** (415) 717-7009

## Contact information

- **Practice address:** 188 SETTLERS HILL RD, SOUTHBURY, CT 06488-1850
- **Practice address phone:** (415) 717-7009
- **Practice address fax:** (506) 934-4210
- **Mailing address:** 1416 NW 46TH ST STE 105, SEATTLE, WA 98107-4622
- **Mailing address phone:** (415) 717-7009
- **Mailing address fax:** (506) 934-4210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2020
- **Last updated:** 11/09/2020