Individual provider · Type 1 NPI

Ivan Gonzalez

Addiction (Substance Use Disorder) Counselor · Montebello, CA

NPI number 1376913434 Active

Practice location

3316 W Beverly Blvd
Montebello, CA 90640-1537

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 1376913434

Ivan Gonzalez's National Provider Identifier is 1376913434, issued on Oct 1, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Montebello, CA. The record was last updated on Oct 1, 2015.