Individual provider · Type 1 NPI

Gwyneth Leeanne Soboleff

Mental Health Counselor · Shelton, WA

NPI number 1972021384 Active

Practice location

110 W K St
Shelton, WA 98584-2944

Mailing address

3857 Martin Way E
Olympia, WA 98506-5268

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972021384

Gwyneth Leeanne Soboleff's National Provider Identifier is 1972021384, issued on Sep 6, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shelton, WA. The record was last updated on Sep 6, 2017.