Individual
LISA LORRAINE GAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1905 4TH AVE E STE B, OLYMPIA, WA 98506-4631
(360) 338-0600
(855) 710-6500
Mailing address
1910 4TH AVE EST, PO BOX 42, OLYMPIA, WA 98506
(360) 338-0600
(855) 710-6500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60657437
WA
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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