Most Relevant Information
Provider Data
| NPI Number: | 1003599358 |
| Provider Name: | MARISOL GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/11/2023 |
| Last Updated: | 08/14/2023 |
Provider Practice Location
840 E PLUM ST
MOSES LAKE
WA
988371874
Practice Location Phone/Fax
| Phone: | 0957079264 |
| Fax: |
Provider Mailing Location
840 E PLUM ST
MOSES LAKE
WA
988371874
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |