Provider Demographics
NPI:1033259098
Name:MCDOUGALL-TREACY, GAYLE (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:
Last Name:MCDOUGALL-TREACY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 STONE WAY N. SUITE 200
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8099
Mailing Address - Country:US
Mailing Address - Phone:206-276-8216
Mailing Address - Fax:206-525-5072
Practice Address - Street 1:4010 STONE WAY N STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8099
Practice Address - Country:US
Practice Address - Phone:206-276-8216
Practice Address - Fax:206-524-7658
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006040101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health