NPI 1205072451

Rey Gonzalez Social Work, PLLC

Organisation Preferred Provider Organization Yakima, WA

Practice location

Address: 6 S 2nd St Suite #710, Yakima, WA 98901-2632
Phone: (509) 930-9111
Fax: (509) 453-5679

Authorised official

Name: Reynaldo Gonzalez
Title: Owner
Phone: (509) 930-9111

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence LW00008771 (WA)

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Registry record

NPI: 1205072451
Entity type: Organization
NPI issued: 17 Dec 2008
Record last updated: 17 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.