| Gwyneth Leeanne Soboleff, | |
|
110 W K St, Shelton, WA 98584-2944 | |
| (360) 704-7170 | |
| Not Available |
| Full Name | Gwyneth Leeanne Soboleff |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 110 W K St, Shelton, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972021384 | NPI | - | NPPES |
| 100567 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gwyneth Leeanne Soboleff, 3857 Martin Way E, Olympia, WA 98506-5268 Ph: (360) 704-7170 | Gwyneth Leeanne Soboleff, 110 W K St, Shelton, WA 98584-2944 Ph: (360) 704-7170 |
Lisa Hammond, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S 3rd St, Shelton, WA 98584 Phone: 360-426-0890 | |
Dylan Glebe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W K St, Shelton, WA 98584 Phone: 360-426-1696 | |
James P Fernandes, MA , MHP, CAAR Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W K St, Shelton, WA 98584 Phone: 360-426-1696 | |
Weston Joseph Broussard Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8002 | |
Theresa Richards, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S 3rd St, Shelton, WA 98584 Phone: 360-426-0890 | |
Milonna Close, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001 Fax: 360-839-2820 | |
Devin Ray Allen, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001 |