CHARLES RANDALL GOODING

KENT, WA
NPI1104577162
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60474403)
Enumeration Date2022-01-12
Last Update Date2022-01-12
Business Address
CHARLES RANDALL GOODING SUDP
23830 PACIFIC HWY S STE 202A
KENT, WA 98032-7706
Phone number: 206-501-5295
Mailing Address
CHARLES RANDALL GOODING SUDP
23830 PACIFIC HWY S STE 202A
KENT, WA 98032-7706
Phone number: 206-501-5295