Individual
GEORGINA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 MATTHEWS ST, GOSHEN, NY 10924-1962
(845) 291-5124
Mailing address
27 MATTHEWS ST, GOSHEN, NY 10924-1962
(845) 291-5124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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