Individual provider · Type 1 NPI

Marina Gonzalez

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

NPI number 1104735612 Active

Practice location

505 S Pacific Ave
San Pedro, CA 90731-2656

Call (310) 519-8723 Map

Mailing address

1496 Walnut Ave Apt 7
Long Beach, CA 90813-2454

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI47070425 (CA)

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

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About NPI 1104735612

Marina Gonzalez's National Provider Identifier is 1104735612, issued on Sep 2, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Sep 2, 2026.