Individual provider · Type 1 NPI

Ralph Gongora

Addiction (Substance Use Disorder) Counselor · La Puente, CA

NPI number 1245767342 Active

Practice location

15229 E. Amar Road
La Puente, CA 91744

Call (626) 855-5090 Map

Mailing address

6926 Gretna Ave
Whittier, CA 90606-1905

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 1245767342

Ralph Gongora's National Provider Identifier is 1245767342, issued on May 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Puente, CA. The record was last updated on May 19, 2017.