Individual
CHEYENNE UNAI GOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-0689
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-0689
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61620151
WA
175T00000X
Peer Specialist
Primary
CG61620151
WA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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