Individual provider · Type 1 NPI

Michael Aaron Gonzalez, CADC-R/CRM/PSS

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1174196083 Active

Practice location

620 NE 2nd St
Gresham, OR 97030-7514

Fax (503) 912-5740

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XTHW000105609 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X21-CRM-479 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-22-1722 (OR)

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

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About NPI 1174196083

Michael Aaron Gonzalez, CADC-R/CRM/PSS's National Provider Identifier is 1174196083, issued on Jul 19, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Nov 8, 2022.