person
Ignacio Fabian Gonzales, MS
Mental Health Counselor in Moses Lake, Washington
NPI 1093742595

Ignacio Fabian Gonzales is a Mental Health Counselor based in Moses Lake, WA and is specialized in Mental Health. Ignacio Fabian Gonzales practices in Moses Lake, WA and has the professional credentials of MS. The NPI Number for Ignacio Fabian Gonzales is 1093742595 and holds a License No. RC00054597 (Washington).

The current practice location address for Ignacio Fabian Gonzales is 1550 S Pioneer Way Ste 165, Moses Lake, WA and can be reached out via phone at 509-793-9780 and via fax at 509-764-3246.

Location: 1550 S Pioneer Way Ste 165, Moses Lake, WA, 98837-1872
person
Provider Profile Details
NPI Number
1093742595
Provider Name
Ignacio Fabian Gonzales
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
1550 S Pioneer Way Ste 165, Moses Lake, WA, 98837-1872
Phone Number
509-793-9780
Fax Number
509-764-3246
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2124122 05 WA
institution
Provider Business Practice Location Address Details
Address
1550 S Pioneer Way Ste 165
City
State
Zip
98837-4637
Phone Number
509-793-9780
Fax Number
509-764-3246
person
Provider Business Mailing Address Details
Address
1550 S Pioneer Way Ste 165
City
State
Zip
98837-4637
Phone Number
509-793-9780
Fax Number
509-764-3246
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
RC00054597 (Washington)
Definition
Definition to come...
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