BERATTA J GOMILLION

SHORELINE, WA
NPI1972942787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00000674)
Enumeration Date2013-06-14
Last Update Date2013-06-14
Business Address
-- BERATTA J GOMILLION
17018 15TH AVE NE
SHORELINE, WA 98155-5126
Phone number: 206-362-7282
Mailing Address
-- BERATTA J GOMILLION
17018 15TH AVE NE
SHORELINE, WA 98155-5126
Phone number: 206-362-7282
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