Individual provider · Type 1 NPI
Fabian Gonzales, ADDICTION SPECIALIST
Addiction (Substance Use Disorder) Counselor · West Covina, CA
NPI number
1225255268
Active
Practice location
540 South Eremland Dr., Suite #A
West Covina, CA 91723
Fax (626) 966-5184
Mailing address
25 El Nido Avenue, Apartment #2
Pasadena, CA 91107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1225255268
Fabian Gonzales, ADDICTION SPECIALIST's National Provider Identifier is 1225255268, issued on Apr 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Covina, CA. The record was last updated on Jul 8, 2007.