Individual
ADAM KEENAN GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8013
Mailing address
360 E BALLYCASTLE WAY, SHELTON, WA 98584-8596
(360) 463-3722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/14/2026
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