Individual
DOUGLAS GEMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7054 RADIUS LOOP SE, LACEY, WA 98513-5134
(360) 480-8361
Mailing address
7054 RADIUS LOOP SE, LACEY, WA 98513-5134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC60500339
WA
106H00000X
Marriage & Family Therapist
Primary
MG60500058
WA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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