Individual provider · Type 1 NPI

Marisa Gonzales

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1093310484 Active

Practice location

2202 N 1st St
San Jose, CA 95131-2007

Call (408) 200-8637 Map

Mailing address

27905 Mandarin Ave
Hayward, CA 94544-5064

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 1093310484

Marisa Gonzales's National Provider Identifier is 1093310484, issued on Dec 2, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Dec 2, 2020.