Individual provider · Type 1 NPI

Johnny Dean Gonzales, BS

Addiction (Substance Use Disorder) Counselor · Clackamas, OR

NPI number 1871868976 Active

Practice location

10180 SE Sunnyside Rd, 1st Floor, Wing A
Clackamas, OR 97015-8970

Call (503) 571-0884 Map

Fax (503) 571-0866

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X103TA0400X (OR)

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

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About NPI 1871868976

Johnny Dean Gonzales, BS's National Provider Identifier is 1871868976, issued on Mar 21, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clackamas, OR. The record was last updated on Mar 21, 2012.