Individual provider · Type 1 NPI

Richard Gonzalez

Addiction (Substance Use Disorder) Counselor · Bay Shore, NY

NPI number 1144855867 Active

Practice location

1444 5th Ave
Bay Shore, NY 11706-4147

Call (631) 647-3100 Map

Mailing address

9 Kirk Rd
Bay Shore, NY 11706-1613

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 1144855867

Richard Gonzalez's National Provider Identifier is 1144855867, issued on Mar 4, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bay Shore, NY. The record was last updated on Mar 4, 2020.