The Wilson Gonzalez Center for Neuroeducation and Student Driven Learn

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE WILSON GONZALEZ CENTER FOR NEUROEDUCATION AND STUDENT DRIVEN LEARN

Practice address

1460 Wilmington Dr
Dupont, WA 98327-8838

Phone

(910) 987-0203

NPI assigned

Feb 8, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Stephanie Erin Wilson Gonzalez, MA, MED

Title

Neurodevelopmental Systems Director

Phone

(910) 987-0203

Specialties & licenses 1

Addresses

Other names 1

• WGCN Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1255799003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 ROSS LOOP",
            "address_2": "D325",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279044",
            "telephone_number": "910-987-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WILMINGTON DR",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278838",
            "telephone_number": "910-987-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILSON GONZALEZ CENTER FOR NEUROEDUCATION AND STUDENT DRIVEN LEARN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "WILSON GONZALEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "NEURODEVELOPMENTAL SYSTEMS DIRECTOR",
        "authorized_official_telephone_number": "910-987-0203",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, MED"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WGCN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Dupont, WA
• Providers in Dupont, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.