Irene Jazil Gonzalez, SUDPT
NPI #1225769607 in Grandview, Washington
Provider Information
- NPI Number
- 1225769607
- Entity Type
- Individual
- Name
- Irene Jazil Gonzalez, SUDPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDPT
- Enumeration Date
- Jun 17, 2022
- Last Updated
- Jun 17, 2022
Practice Location
- Address
- 106 N ELM ST
- City
- Grandview
- State
- Washington
- ZIP Code
- 98930-1009
- Phone
- (509) 402-9090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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