Individual
GARY WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-4339
Mailing address
9105 NE HIGHWAY 99 STE B, VANCOUVER, WA 98665-8974
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002821
WA
Other
Enumeration date
01/27/2016
Last updated
02/23/2021
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