Ethan Gonzales, RECOVERY COACH

NPI 1982187498 · on the registry since 2018

Practice

Address: 1601 E 4th Plain Blvd Bldg 17
Vancouver, WA 98661
Phone: (360) 397-8246
Organisation at this address: Portland Vamc
Consumer Voices Are Born
Telecare Mental Health Services Of Washington, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 269

Registry record

Primary taxonomy: Peer Specialist
175T00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington