NPIRadar

Nicolas Gonzalez, RADT Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Campo, CA

NPI
1861190134
Type
Individual (Type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
License number
R1495660123 (CA)
Sex
Male
Sole proprietor
No
Enumerated
2023-02-16
Last updated
2023-05-01
Practice location
1777 Buckman Springs Rd
Campo, CA 91906-2022
(196) 478-5696

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