Individual
DR. GRETCHEN S GENDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
426 N MERIDIAN, PUYALLUP, WA 98371-8636
(253) 256-6594
Mailing address
2205 43RD ST SE, PUYALLUP, WA 98372-4280
(253) 218-9912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHCA.MC.60930549
WA
103T00000X
Psychologist
Primary
PY60968000
WA
103TC1900X
Counseling Psychologist
PY60968000
WA
Other
Enumeration date
03/18/2019
Last updated
02/08/2024
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