Individual provider · Type 1 NPI

Ethan D. Gonzales, RECOVERY COACH

Peer Specialist · Vancouver, WA

NPI number 1982187498 Active

Practice location

1601 E 4th Plain Blvd Bldg 17
Vancouver, WA 98661-3717

Call (360) 397-8246 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1982187498

Ethan D. Gonzales, RECOVERY COACH's National Provider Identifier is 1982187498, issued on Sep 11, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vancouver, WA. The record was last updated on Oct 21, 2020.