Individual provider · Type 1 NPI
Cynthia Gonzalez, CSUDC
Substance Use Disorder Rehabilitation Clinic/Center · Murray, UT
NPI number
1790458594
Active
Practice location
164 E 5900 S
Murray, UT 84107-7256
Mailing address
1087 E 760 N
Orem, UT 84097-5479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 11950093-6005 (UT) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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- Gary Warren Schlichter, MDPediatrics Physician Murray, UT NPI 1326031246
- Giovanna Eliana Colombo, CASUDCAddiction (Substance Use Disorder) Counselor Murray, UT NPI 1053976555
- Harold Grant Brockbank, DDSGeneral Practice Dentistry Murray, UT NPI 1558452102
- Nicole Catherine NewmanLicensed Practical Nurse Murray, UT NPI 1114760766
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About NPI 1790458594
Cynthia Gonzalez, CSUDC's National Provider Identifier is 1790458594, issued on Jul 28, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Murray, UT. The record was last updated on Jul 28, 2021.