Individual
CHYANNE RACQUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BA
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
WA
106H00000X
Marriage & Family Therapist
Primary
MG61640541
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2020
Last updated
01/27/2025
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