Individual provider · Type 1 NPI

Jacqueline F. Gonzales

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1760031629 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2636

Call (909) 421-7120 Map

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 1760031629

Jacqueline F. Gonzales's National Provider Identifier is 1760031629, issued on Sep 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Sep 4, 2019.