IRENE JAZIL GONZALEZ

GRANDVIEW, WA
NPI1225769607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61241782)
Enumeration Date2022-06-17
Last Update Date2022-06-17
Business Address
IRENE JAZIL GONZALEZ SUDPT
106 N ELM ST
GRANDVIEW, WA 98930-1009
Phone number: 509-402-9090
Mailing Address
IRENE JAZIL GONZALEZ SUDPT
106 N ELM ST
GRANDVIEW, WA 98930-1009
Phone number: 150-940-2909