Individual
MR. CHRISTOPHER STEVEN GULLETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61470797
WA
175T00000X
Peer Specialist
Primary
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2023
Last updated
10/10/2023
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