Individual provider · Type 1 NPI

Deseri Rose Gonzales, CCAPP

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1699207936 Active

Practice location

2101 Magnolia Ave
Long Beach, CA 90806-4521

Call (562) 218-1868 Map

Fax (562) 591-0346

Mailing address

18646 Oxnard St
Tarzana, CA 91356-1411

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC5371214 (CA)

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

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About NPI 1699207936

Deseri Rose Gonzales, CCAPP's National Provider Identifier is 1699207936, issued on Mar 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Jun 28, 2023.