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Organization
LIVE WELL ALLIANCE, LLC
Active
Organization
LIVE WELL ALLIANCE, LLC
Active
Other names
Gina G Group Gina Guddat
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA LYNN GUDDAT LMHC (COUNSELOR, DIRECTOR OF GROUP PRACTI)
(888) 232-0222
Entity
Organization
Contact information
Practice address
1103 W. MEEKER STREET #102, KENT, WA 98032
(888) 232-0222
Mailing address
P.O. BOX 9572, SEATTLE, WA 98109
(888) 232-0222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60217335
WA
Other
Enumeration date
08/31/2016
Last updated
10/09/2018
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