Individual provider · Type 1 NPI

Jacqueline Gonzales, MPCC, BS, CDCA

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1346735867 Active

Practice location

400 Bowman St
Mansfield, OH 44903-1235

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X165387 (OH)

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

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About NPI 1346735867

Jacqueline Gonzales, MPCC, BS, CDCA's National Provider Identifier is 1346735867, issued on Jun 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Jun 27, 2018.