Individual
OLIVIA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1960 N HOLY NAMES CT, SPOKANE, WA 99224-5803
(509) 455-4968
(509) 455-4988
Mailing address
1960 N HOLY NAMES CT, SPOKANE, WA 99224-5803
(509) 455-4968
(509) 455-4988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
60956978
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139223
—
WA
Enumeration date
05/09/2018
Last updated
01/03/2020
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