Individual
GILDA YRURETAGOYENA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1033 SW 152ND ST, BURIEN, WA 98166-1845
(206) 242-1698
(206) 829-1302
Mailing address
1033 SW 152ND ST, BURIEN, WA 98166
(206) 242-1698
(206) 829-1302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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