Individual
GABRHEA CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP, LMHC
Contact information
Practice address
3051 W SIMS WAY, PORT TOWNSEND, WA 98368-2255
(360) 385-1258
Mailing address
3051 W SIMS WAY, PORT TOWNSEND, WA 98368-2255
(360) 385-1258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60513121
WA
101YM0800X
Mental Health Counselor
MC61372103
—
Other
Enumeration date
06/20/2014
Last updated
12/29/2024
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