Individual
GAYLE L MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
3430 HWY 101 E,, SUITE 10, PORT ANGELES, WA 98362
(360) 452-4062
(360) 452-4189
Mailing address
P.O. BOX 478, PORT ANGELES, WA 98362
(360) 374-5011
(360) 374-6691
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004779
WA
101YM0800X
Mental Health Counselor
CP00004779
WA
Other
Enumeration date
08/27/2008
Last updated
09/06/2011
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