Individual
BIANETH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 THIRD AVE, CHULA VISTA, CA 91911-3136
(619) 498-8260
Mailing address
1155 THIRD AVE, CHULA VISTA, CA 91911-3136
(619) 498-8260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
09/11/2024
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