Gonyon, Kristine

Gonyon, Kristine is an individual health care provider with primary practice located at 1408 12Th Ave , Longview WA 98632-3822. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Gonyon, Kristine can be contacted via phone (360) 998-3050.

Contact Information

Primary practice address
1408 12Th Ave Longview WA 98632-3822
Phone: (360) 998-3050
Fax: (360) 200-6736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1730713694
LBN Legal business name Gonyon, Kristine
Credentials CPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2020
Last updated Sep 18th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1730713694 NPPES
Washington MEDICAID 2154913

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