Individual provider · Type 1 NPI
Dani Madison Gillis I, SUDP-T
Addiction (Substance Use Disorder) Counselor · Bellevue, WA
NPI number
1912604166
Active
Practice location
3805 108th Ave NE Ste 102
Bellevue, WA 98004-7613
Mailing address
11704 Ambaum Blvd SW
Burien, WA 98146-4604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 61414893 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912604166
Dani Madison Gillis I, SUDP-T's National Provider Identifier is 1912604166, issued on Feb 8, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bellevue, WA. The record was last updated on Jun 27, 2024.