MAIRA GONZALEZ-VIELMA

SHELTON, WA
NPI1730650128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-12-10
Last Update Date2018-12-10
Business Address
MAIRA GONZALEZ-VIELMA
627 W FRANKLIN ST
SHELTON, WA 98584-3504
Phone number: 360-763-5610
Mailing Address
MAIRA GONZALEZ-VIELMA
606 BEAR ST
SHELTON, WA 98584-4204
Phone number: 707-267-3149