THE WILSON GONZALEZ CENTER FOR NEUROEDUCATION AND STUDENT DRIVEN LEARN (NPI# 1255799003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255799003 |
| Entity Type | Organization |
| Organization Name | THE WILSON GONZALEZ CENTER FOR NEUROEDUCATION AND STUDENT DRIVEN LEARN |
| Other Organization Name | WGCN |
| Practice Address |
1460 Wilmington Dr Dupont WA 98327-8838 |
| Mailing Address |
930 Ross Loop D325 Dupont WA 98327-9044 |
| Practice Telephone | 9109870203 |
| Mailing Telephone | 9109870203 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | MS. STEPHANIE ERIN WILSON GONZALEZ (NEURODEVELOPMENTAL SYSTEMS DIRECTOR) |
| Authorized Official Telephone | 9109870203 |
| Authorized Official Credential | MA, MED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| WGCN | Other Name - Individual/Organization |
| Street Address |
1460 WILMINGTON DR |
| City | DUPONT |
| State | WA |
| Zip Code | 98327-8838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683610 | Kathryn Michele Hines | Behavior Technician | 1570 Wilmington Dr #220, Dupont, WA 98327 | 2019-05-09 |
| 1841785730 | Ethan Earl Tindall | Dentist | 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2018-06-25 |
| 1962996272 | William Thomas Frei | Dentist | 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 | 2018-06-20 |
| 1659873453 | Jacqueline Patrick | Dental Assistant | 9900 Lincoln Street, 2nd Florr, Us Army Dentac, Tacoma, WA 98327 | 2018-03-07 |
| 1215436431 | Careage Home Health LLC | Home Health | 1600 Marshall Circle, Dupont, WA 98327 | 2018-02-02 |
| 1649621400 | Charles Walter Woodruff II | Dentist | Joint Base Lewis-mccord Dentac, Dental Clinic 3, Jblm, WA 98327 | 2016-06-23 |
| 1164898532 | Richard Lauderback | Dentist | 9900 Lincoln Street, 2nd Floor, Attn: Credentials Office, Tacoma, WA 98327 | 2015-08-19 |
| 1639552110 | Philip Henzlik | Dentist | 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2015-07-02 |
| 1861731739 | Elizabeth Brooke Stout | Behavioral Analyst | 1570 Wilmington Drive, Ste 220, Dupont, WA 98327 | 2013-02-12 |
| 1184902116 | Lidiya Kozlova | Massage Therapist | 5006 Center St Dr Ste N, Aim Physical Therapy, Tacoma, WA 98327 | 2011-07-25 |
| Find all providers in zip 98327 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990477 | Leticeia Scott | Counselor | 2618 Deschutes Pl Apt 3, Bremerton, WA 98312-6015 | 2020-10-23 |
| 1073128906 | David Scott Clees | Counselor | 118 Mocliff Rd, Ephrata, WA 98823-1532 | 2020-09-08 |
| 1326663311 | Second Fruit Wellness Services LLC | Counselor | 2800 E Evergreen Blvd Ste B, Vancouver, WA 98661-4934 | 2020-06-15 |
| 1538784376 | Integrated Wisdom Therapy, Pllc | Counselor | 1313 N 27th Ct, Renton, WA 98056-1443 | 2020-06-08 |
| 1831711100 | Shannon E. Stauffer | Counselor | 2804 Grand Ave Ste 304, Everett, WA 98201-3586 | 2020-05-10 |
| 1457972390 | Mindy Alexander Counseling | Counselor | 5913 Maryhill Ln, Pasco, WA 99301-8766 | 2020-05-01 |
| 1376162537 | Northwest Sexual Counseling | Counselor | 1616 W Wellesley Ave Ste B, Spokane, WA 99205-1413 | 2020-04-08 |
| 1053940502 | Katherine Lizbeth Morris | Counselor | 101 W 8th Ave # 2e, Spokane, WA 99204-2307 | 2020-04-06 |
| 1164058145 | Brooke Ann Enriquez | Counselor | 3606 Main St Ste 202, Vancouver, WA 98663-2235 | 2020-03-21 |
| 1881224624 | Erin Reyes | Counselor | 750 George Washington Way Ste 8, Richland, WA 99352-4247 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.