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Gabriel C Renville

Peer Specialist in Aberdeen, WA. Individual provider (NPI-1).

NPI number1982102240
StatusActive
Last updated in NPPESJan 31, 2018

Details

NPI
1982102240
Entity type
Individual (NPI-1)
Name
Mr. Gabriel C Renville
Sex
Male
Sole proprietor
No
Enumeration date
Jan 31, 2018
Last updated
Jan 31, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

403 W State St Ste 206
Aberdeen, WA 98520-6140

Phone 360-612-3839

Mailing address

403 W State St Ste 206
Aberdeen, WA 98520-6140

Phone 360-612-3839

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