| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA HELENA GONZALES | 1750784112 | 2023-08-13 |
Jessica Helena Gonzales is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1750784112. Registration indicates Jessica Helena Gonzales is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Jessica Helena Gonzales PMHNP-BC |
| Practice Office Address | 16771 NE 80TH ST STE 104 REDMOND, WA US |
| Practice Office Telephone | 4256516890 |
| Practice Office Fax | 8667712215 |
| Mailing Address | 7345 164TH AVE NE # I1451301 REDMOND, WA 980527846 US |
| Business Telephone | 4256516890 |
| Business Fax | 8667712215 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP60505216
WA |