Jason A Gonsalves
Jason A Gonsalves is a Peer Specialist in Wasilla, Alaska. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
591 S Knik Goose Bay RdWasilla, AK 99654-8062
Phone: (907) 313-1333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1063294072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 16, 2023 |
| Last updated in NPPES | October 16, 2023 |
| Certification date | October 16, 2023 |
| Mailing address | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 |
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591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 · (907) 357-8780
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591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 · (907) 313-1333
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1419 S Kittiwake St, Wasilla, AK 99623-9302 · (907) 313-1333