person
Mr. Augusto Gancinia, AGENCYAFFILIATEDRE
Mental Health Counselor in Pullman, Washington
NPI 1881098051

Augusto Gancinia is a Mental Health Counselor based in Pullman, WA and is specialized in Mental Health. Augusto Gancinia practices in Pullman, WA and has the professional credentials of AGENCYAFFILIATEDRE. The NPI Number for Augusto Gancinia is 1881098051 and holds a License No. GC60503995 (Washington).

The current practice location address for Augusto Gancinia is 340 Ne Maple, Pullman, WA and can be reached out via phone at 509-334-1133 and via fax at 509-332-1608.

Location: 340 Ne Maple, Pullman, WA, 99163
person
Provider Profile Details
NPI Number
1881098051
Provider Name
Augusto Gancinia
Credential
AGENCYAFFILIATEDRE
Provider Entity Type
Individual
Gender
Male
Address
340 Ne Maple, Pullman, WA, 99163
Phone Number
509-334-1133
Fax Number
509-332-1608
Provider Enumeration Date
10/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
340 Ne Maple
City
State
Zip
99163
Phone Number
509-334-1133
Fax Number
509-332-1608
person
Provider Business Mailing Address Details
Address
340 Ne Maple
City
State
Zip
99163
Phone Number
509-334-1133
Fax Number
509-332-1608
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
GC60503995 (Washington)
Definition
Definition to come...
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