Individual
JAY GALE BARILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
2802 BROADWAY, EVERETT, WA 98201-3642
(425) 259-3191
Mailing address
PO BOX 839, EVERETT, WA 98206-0839
(425) 259-3191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/30/2021
Last updated
10/15/2024
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