Gill, Judalyn Evette

Gill, Judalyn Evette is an individual health care provider with primary practice located at 506 W Franklin St , Shelton WA 98584-3517. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Gill, Judalyn Evette can be contacted via phone (360) 427-5232.

Contact Information

Primary practice address
506 W Franklin St Shelton WA 98584-3517
Phone: (360) 427-5232
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 61040187 Washington
Other Service Providers / Peer Specialist 175T00000X CG61424783 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X CO61040187 Washington

Profile Details

NPI number 1245846252
LBN Legal business name Gill, Judalyn Evette
Credentials SUDPT, AAC, CPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2020
Last updated May 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245846252 NPPES
Washington MEDICAID 2164976

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