AMANDA MICHELLE GILLAM

VANCOUVER, WA
NPI1467769117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  cp60011896)
Enumeration Date2010-09-01
Last Update Date2010-09-01
Business Address
-- AMANDA MICHELLE GILLAM cdp
7507 NE 51ST ST
VANCOUVER, WA 98662-6007
Phone number: 360-906-1190
Mailing Address
-- AMANDA MICHELLE GILLAM cdp
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405