Individual
GABRIEL WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 TIETON DR STE C, YAKIMA, WA 98908
(150) 996-5710
Mailing address
5301 TIETON DR STE C, YAKIMA, WA 98908-3479
(150) 996-5710
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MG60698753
WA
171M00000X
Case Manager/Care Coordinator
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083920
—
WA
Enumeration date
06/12/2009
Last updated
10/15/2018
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