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Organization
PROTOTYPES
Active
Organization
PROTOTYPES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DULCE MARIA GONZALEZ (COUNSELOR/ADDICTION (SUBSTANCEUSE))
(909) 624-1233
Entity
Organization
Contact information
Practice address
831 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
Mailing address
831 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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