# DAVID D. GERARDOT, LLC

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

## Provider details

- **NPI number:** 1245270693
- **Authorized official:** DR. DAVID D GERARDOT PH.D., ARNP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (360) 352-1668

## Contact information

- **Practice address:** 1800 COOPER POINT RD SW, BUILDING \#17, OLYMPIA, WA 98502-1178
- **Practice address phone:** (360) 352-1667
- **Practice address fax:** (360) 705-1350
- **Mailing address:** 1800 COOPER POINT RD SW, BUILDING \#17, OLYMPIA, WA 98502-1178
- **Mailing address phone:** (360) 352-1667
- **Mailing address fax:** (360) 705-1350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LH00003805 | WA | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | AP30006965 | WA | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 03/23/2009