AXEL DANIE GALLARDO

SEATTLE, WA
NPI1336853555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  61360511)
Enumeration Date2023-01-11
Last Update Date2023-01-11
Business Address
AXEL DANIE GALLARDO SUDPT
113 23RD AVE S
SEATTLE, WA 98144-2309
Phone number: 206-709-1777
Mailing Address
AXEL DANIE GALLARDO SUDPT
113 23RD AVE S
SEATTLE, WA 98144-2309
Phone number: 206-709-1777