=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477125607
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EURYALE P GADIN LMHC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2021
-----------------------------------------------------
Last Update Date | 07/16/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1760 WOODINVILLE SNOHOMISH RD NE #2673
-----------------------------------------------------
City | WOODINVILLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98072
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-616-3340
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1760 WOODINVILLE SNOHOMISH RD NE #2673
-----------------------------------------------------
City | WOODINVILLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98072
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-616-3340
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MC6115052
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------