Individual
PEGGY ANN GWINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
13000 21ST DR SE, EVERETT, WA 98208-7103
(425) 338-7671
(425) 338-7672
Mailing address
1818 PACIFIC AVE APT 505, EVERETT, WA 98201-4496
(425) 252-5063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003372
WA
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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