Individual provider · Type 1 NPI

Irene Jazil Gonzalez, SUDPT

Addiction (Substance Use Disorder) Counselor · Grandview, WA

NPI number 1225769607 Active

Practice location

106 N Elm St
Grandview, WA 98930-1009

Fax (866) 974-8679

Other practice locations

  • 100 N Fruitland St Ste A, Kennewick, WA 99336-3814 · (509) 581-0303

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61241782 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225769607

Irene Jazil Gonzalez, SUDPT's National Provider Identifier is 1225769607, issued on Jun 17, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grandview, WA. The record was last updated on Jun 17, 2022.