Individual
DAYLEN L GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
727 N TOWER AVE, CENTRALIA, WA 98531-4754
(360) 764-9506
Mailing address
PO BOX 257, PMB 9773, OLYMPIA, WA 98507-0257
(253) 220-7230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60818881
WA
1041C0700X
Clinical Social Worker
Primary
LW61090527
WA
Other
Enumeration date
09/01/2013
Last updated
09/25/2023
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