| Doctor Name: | MS. BETSY GUDZ |
| NPI Number: | 1134309909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BA, CDP |
| License Number: | CP00005218 |
| Business Practice Address: | 7972 Maple Ave Se Snoqualmie, WA - 98065 |
| Business Phone Number: | 4258884151 |
| Business Fax Number: | 4258881064 |
| Mailing Address: | Po Box 1553, 7972 Se Maple Avenue SNOQUALMIE |
| State: | WA |
| Postal Code: | 980651553 |
| Phone Number: | 4258884151 |
| Fax Number: | 4258881064 |
| NPI Enumeration Date: | 11/09/2007 |
| NPI Last Update Date: | 11/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CP00005218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |