Provider Demographics
NPI:1023349727
Name:GESSELL, DEBORAH LYNN (CNA, PHARM TECH, CG)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:LYNN
Last Name:GESSELL
Suffix:
Gender:F
Credentials:CNA, PHARM TECH, CG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2613 W MARINE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3420
Mailing Address - Country:US
Mailing Address - Phone:425-349-6700
Mailing Address - Fax:425-349-6705
Practice Address - Street 1:2613 W MARINE VIEW DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3420
Practice Address - Country:US
Practice Address - Phone:425-349-6700
Practice Address - Fax:425-349-6705
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60134686101YM0800X
WAVA00058604183700000X
WANC10058612376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No183700000XPharmacy Service ProvidersPharmacy Technician
No376K00000XNursing Service Related ProvidersNurse's Aide