Individual
MARK ANTHONY GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 5TH AVENUE SE, OLYMPIA, WA 98501
(360) 754-2324
Mailing address
508 5TH AVENUE SE, OLYMPIA, WA 98501
(360) 754-2324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60752047
WA
101YM0800X
Mental Health Counselor
—
WA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/23/2018
Last updated
08/08/2022
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