Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN D GONZALES, RECOVERY COACH
ActiveMR. ETHAN D GONZALES, RECOVERY COACH is a Peer Specialist healthcare provider located in VANCOUVER, Washington. NPI 1982187498 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · VANCOUVER, WA
Registration Details
- NPI Number
- 1982187498
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2018 (7.8977153645662 yrs)
- Last Updated
- Oct 21, 2020
Practice Information
- Address
-
1601 E 4TH PLAIN BLVD BLDG 17VANCOUVER, WA, 986613717Browse WA providers · Browse ZIP 98661
- Phone
- 3603978246
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER E GOLIK | — | 1851540082 |
| SAMANTHA SIMONES | — | 1760727168 |
| DAWN ELIZABETH GROSZ | — | 1518302736 |
| PATTI RENFRO | — | 1801298203 |
| CAITLIN CHRISTINA CRENSHAW | — | 1083012959 |
| MISS REBECCA ANNE KUHL | HS | 1942698535 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.