Individual provider · Type 1 NPI

Kelley Gonzalez, SUDRC 25411

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1700723814 Active

Practice location

2445 W Whites Bridge Ave
Fresno, CA 93706-1225

Call (559) 264-5096 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25411 (CA)

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

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About NPI 1700723814

Kelley Gonzalez, SUDRC 25411's National Provider Identifier is 1700723814, issued on Apr 29, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Apr 29, 2026.