Individual provider · Type 1 NPI

Mario Salvador Gonzalez Sr.

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1053509422 Active

Practice location

2918 W Vernon Ave
Los Angeles, CA 90008-4757

Call (323) 497-8150 Map

Mailing address

2918 West Vernon
Los Angeles, CA 90008

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053509422

Mario Salvador Gonzalez Sr.'s National Provider Identifier is 1053509422, issued on Oct 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 10, 2007.