FOUNTAINGATE WELLNESS PLLC

MARYSVILLE, WA
NPI1407501364
Entity TypeOrganization
Authorized ContactSCOTT D WYKES
Owner
360-653-0374
Organization Subpart ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-02-18
Last Update Date2022-02-18
Business Address
FOUNTAINGATE WELLNESS PLLC
1106 COLUMBIA AVE STE 100
MARYSVILLE, WA 98270-4311
Phone number: 360-653-0374
Mailing Address
FOUNTAINGATE WELLNESS PLLC
1106 COLUMBIA AVE STE 100
MARYSVILLE, WA 98270-4311
Phone number:
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