JAQUELYN RENEE GONZALEZ MSW NPI 1255972626

NPI Information

NPI: 1255972626
Provider Name: JAQUELYN RENEE GONZALEZ, MSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3600 SAN JERONIMO DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 793-3241
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Jaquelyn Renee Gonzalez, MSW is an addiction (substance use disorder) counselor in Anchorage, AK. Jaquelyn Renee Gonzalez, MSW NPI is 1255972626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3600 SAN JERONIMO DR
ANCHORAGE, AK
ZIP 99508-870
Phone: (907) 793-3241

The enumeration date for this NPI number is 10/7/2019 and was last updated on 6/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		ALASKA	Yes
2	101YM0800X	Counselor	Mental Health			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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