Gonzalez, Jaquelyn Renee

Gonzalez, Jaquelyn Renee is an individual health care provider with primary practice located at 3600 San Jeronimo Dr , Anchorage AK 99508-2870. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gonzalez, Jaquelyn Renee can be contacted via phone (907) 793-3241.

Contact Information

Primary practice address
3600 San Jeronimo Dr Anchorage AK 99508-2870
Phone: (907) 793-3241
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Alaska

Profile Details

NPI number 1255972626
LBN Legal business name Gonzalez, Jaquelyn Renee
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2019
Last updated Jun 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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