Provider Demographics
NPI:1093282915
Name:GONZALEZ-SPEARMAN, LINDA LEE (CP00006224)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LEE
Last Name:GONZALEZ-SPEARMAN
Suffix:
Gender:F
Credentials:CP00006224
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:LEE
Other - Last Name:SPEARMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-2875
Mailing Address - Country:US
Mailing Address - Phone:509-248-1800
Mailing Address - Fax:509-853-0757
Practice Address - Street 1:120 S 3RD ST
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-2875
Practice Address - Country:US
Practice Address - Phone:509-248-1800
Practice Address - Fax:509-853-0757
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)