Individual
GARY SOMDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1305 MANSFIELD ST, SUITE 5, RICHLAND, WA 99352-3588
(509) 942-1624
Mailing address
5503 ASPEN DR, WEST RICHLAND, WA 99353-7705
(509) 942-1624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001001
WA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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