Individual
BERATTA J GOMILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
(206) 362-7282
(206) 362-7152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000674
WA
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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