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Individual
GREGORY RUSSELL GATES
Active
Individual
GREGORY RUSSELL GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC, CDP, MHP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 60039687
WA
101YM0800X
Mental Health Counselor
Primary
LH 60074511
WA
Other
Enumeration date
04/26/2013
Last updated
03/28/2017
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