Individual
DEBBIE DIANE GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC & MHCA
Contact information
Practice address
830 SE IRELAND ST, OAK HARBOR, WA 98277-5502
(360) 679-7676
(360) 679-9239
Mailing address
8594 SANTA ROSA RD, ATASCADERO, CA 93422-4947
(805) 835-1797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC11298
CA
101YM0800X
Mental Health Counselor
Primary
MC61311711
WA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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