Individual
DAVID D GERARDOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 COOPER POINT RD SW, BLDG. #17, OLYMPIA, WA 98502-1178
(360) 352-1668
Mailing address
1800 COOPER POINT RD SW, BLDG. #17, OLYMPIA, WA 98502-1178
(360) 352-1668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00003805
WA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP30006965
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8856848
GROUP PIN
—
Enumeration date
03/17/2008
Last updated
03/13/2009
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