Individual provider · Type 1 NPI

Virginia Mary Lee Gonsalves, CAS

Addiction (Substance Use Disorder) Counselor · La Mesa, CA

NPI number 1811257066 Active

Practice location

4990 Williams Ave
La Mesa, CA 91942

Call (619) 668-4200 Map

Fax (619) 698-1665

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 1811257066

Virginia Mary Lee Gonsalves, CAS's National Provider Identifier is 1811257066, issued on May 22, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Mesa, CA. The record was last updated on May 22, 2012.