Mr. Ethan D Gonzales, RECOVERYCOACH
Mr. Ethan D Gonzales, RECOVERYCOACH is a Peer Specialist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2018.
- Licensed in
- WA
- In the registry since
- 2018
Practice location Address checks out
1601 E 4th Plain Blvd Bldg 17Vancouver, WA 98661-3717
Phone: (360) 397-8246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (WA) |
|---|
Record details
| NPI number | 1982187498 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RECOVERYCOACH |
| Sole proprietor | No |
| NPI enumerated | September 11, 2018 |
| Last updated in NPPES | October 21, 2020 |
| Certification date | October 21, 2020 |
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