Provider Demographics
NPI:1871375766
Name:GONZALEZ ACEVEDO, NAHUM HERVERTO
Entity type:Individual
Prefix:
First Name:NAHUM
Middle Name:HERVERTO
Last Name:GONZALEZ ACEVEDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 PRINCETON AVE N
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-1609
Mailing Address - Country:US
Mailing Address - Phone:509-741-9239
Mailing Address - Fax:
Practice Address - Street 1:921 PRINCETON AVE N
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-1609
Practice Address - Country:US
Practice Address - Phone:509-741-9239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor