Individual
CIELO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA, CNA, YSS, PSW
Contact information
Practice address
35 S G ST, LAKEVIEW, OR 97630-1817
(541) 947-6021
(541) 219-8114
Mailing address
35 S G ST, LAKEVIEW, OR 97630-1817
(541) 947-6021
(541) 219-8114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
23-QMHA-R-3641
OR
175T00000X
Peer Specialist
4D7E1C67-F2E8-4471-8
OR
Other
Enumeration date
04/10/2023
Last updated
11/12/2024
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