Individual
BRANDON RAE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21120 MERIDIAN E, GRAHAM, WA 98338-8254
(253) 285-4750
(206) 775-5150
Mailing address
21120 MERIDIAN E, GRAHAM, WA 98338-8254
(253) 285-4750
(206) 775-5150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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