GARY SOMDAHL

RICHLAND, WA
NPI1821205808
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  cp00001001)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- GARY SOMDAHL cdp
1305 MANSFIELD ST SUITE 5
RICHLAND, WA 99352-3588
Phone number: 509-942-1624
Mailing Address
-- GARY SOMDAHL cdp
5503 ASPEN DR
WEST RICHLAND, WA 99353-7705
Phone number: 509-942-1624