Individual provider · Type 1 NPI

Ricky Gourdine

Mental Health Counselor · Olympia, WA

NPI number 1285200758 Active

Practice location

402 Yauger Way SW
Olympia, WA 98502-8660

Call (360) 878-8248 Map

Mailing address

3857 Martin Way E
Olympia, WA 98506-5268

Other practice locations

  • 3857 Martin Way E, Olympia, WA 98506-5268 · (360) 704-7170

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC61601654 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1285200758

Ricky Gourdine's National Provider Identifier is 1285200758, issued on Jun 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olympia, WA. The record was last updated on Jan 9, 2025.