Individual provider · Type 1 NPI
Maira Gonzalez-Vielma
Addiction (Substance Use Disorder) Counselor · Shelton, WA
NPI number
1730650128
Active
Practice location
627 W Franklin St
Shelton, WA 98584-3504
Mailing address
606 Bear St
Shelton, WA 98584-4204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730650128
Maira Gonzalez-Vielma's National Provider Identifier is 1730650128, issued on Dec 10, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelton, WA. The record was last updated on Dec 10, 2018.