Individual
MR. GABRIEL GEBALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
,MA, CDP
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
(206) 362-7152
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60156676
WA
Other
Enumeration date
07/15/2013
Last updated
02/17/2018
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