person
Irene Jazil Gonzalez, SUDPT
Addiction (Substance Use Disorder) Counselor in Grandview, Washington
NPI 1225769607

Irene Jazil Gonzalez is an Addiction (Substance Use Disorder) Counselor based in Grandview, WA and is specialized in Addiction (Substance Use Disorder). Irene Jazil Gonzalez practices in Grandview, WA and has the professional credentials of SUDPT. The NPI Number for Irene Jazil Gonzalez is 1225769607 and holds a License No. CO61241782 (Washington).

The current practice location address for Irene Jazil Gonzalez is 106 N Elm St, Grandview, WA and can be reached out via phone at 509-402-9090 and via fax at 866-974-8679.

Location: 106 N Elm St, Grandview, WA, 98930-1009
person
Provider Profile Details
NPI Number
1225769607
Provider Name
Irene Jazil Gonzalez
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
106 N Elm St, Grandview, WA, 98930-1009
Phone Number
509-402-9090
Fax Number
866-974-8679
Provider Enumeration Date
06/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 N Elm St
City
State
Zip
98930-1009
Phone Number
509-402-9090
Fax Number
866-974-8679
person
Provider Business Mailing Address Details
Address
106 N Elm St
City
State
Zip
98930-1009
Phone Number
509-402-9090
Fax Number
866-974-8679
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO61241782 (Washington)
Definition
Definition to come...
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