Iris Gonzalez is a Counselor based in Longview, WA. Iris Gonzalez practices in Longview, WA. The NPI Number for Iris Gonzalez is 1427535996 and holds a License No. CG60844362 (Washington).
The current practice location address for Iris Gonzalez is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419.
Location: 748 14Th Ave, Longview, WA, 98632
Provider Profile Details
NPI Number
1427535996
Provider Name
Iris Gonzalez
Credential
Provider Entity Type
Individual
Gender
Female
Address
748 14Th Ave, Longview, WA, 98632
Phone Number
360-200-5419
Fax Number
Provider Enumeration Date
07/26/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133369 | 05 | WA |
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
State
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
Provider Business Mailing Address Details
Address
748 14Th Ave
City
State
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
CG60844362 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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