Individual provider · Type 1 NPI

Herman Gonzalez, AAS

Addiction (Substance Use Disorder) Counselor · Liberty, NY

NPI number 1679755672 Active

Practice location

20 Community Ln
Liberty, NY 12754-2851

Call (845) 292-8770 Map

Fax (845) 292-4206

Mailing address

PO Box 12
Swan Lake, NY 12783-0012

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 1679755672

Herman Gonzalez, AAS's National Provider Identifier is 1679755672, issued on Nov 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Liberty, NY. The record was last updated on Nov 30, 2007.