Provider Demographics
NPI:1679086292
Name:GONZALEZ-HAU ANAKOTTA, MARIA DELA LUZ (COUNSELOR)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DELA LUZ
Last Name:GONZALEZ-HAU ANAKOTTA
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:GONZALEZ-HAU
Other - Last Name:ANAKOTTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2569
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98213-0569
Mailing Address - Country:US
Mailing Address - Phone:425-212-4200
Mailing Address - Fax:425-212-4201
Practice Address - Street 1:811 MADISON ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-4543
Practice Address - Country:US
Practice Address - Phone:425-212-4200
Practice Address - Fax:425-212-4201
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC60795532101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor