Individual
MS. JESSICA THERESA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
5301 TIETON DRIVE, SUITE C, C/O CATHOLIC FAMILY & CHILD SERVICE, YAKIMA, WA 98908-3478
(509) 965-7100
(509) 966-9750
Mailing address
5301 TIETON DR STE C, YAKIMA, WA 98908-3478
(509) 965-7100
(509) 966-9750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60553420
WA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
01/22/2019
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