Individual provider · Type 1 NPI

Beratta J. Gomillion

Addiction (Substance Use Disorder) Counselor · Shoreline, WA

NPI number 1972942787 Active

Practice location

17018 15th Ave NE
Shoreline, WA 98155-5126

Fax (206) 362-7152

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00000674 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972942787

Beratta J. Gomillion's National Provider Identifier is 1972942787, issued on Jun 14, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shoreline, WA. The record was last updated on Jun 14, 2013.