Tayler Gonzales
Social Worker, Clinical in Boise, ID. Individual provider (NPI-1).
NPI number1134088727
StatusActive
Last updated in NPPESJan 19, 2026
Details
- NPI
- 1134088727
- Entity type
- Individual (NPI-1)
- Name
- Tayler Gonzales
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2026
- Certification date
- Jan 19, 2026
- Last updated
- Jan 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LMSW-45364 | ID | Yes |
Practice location
202 N 9th StBoise, ID 83702-5734
Phone 208-495-4358
Mailing address
202 N 9th StBoise, ID 83702-5734
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